Active NPI
Jonathan William Brugger, M.D.
- Ophthalmology Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME145189
- Practice address
- 2401 University Pkwy
Building 1, Suite 205
Sarasota, FL 34243-2973 - Phone
- (419) 351-1200
- Fax
- (941) 351-1201
- NPI assigned
- Jul 28, 2008
- Last updated
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 57881 | TN | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ME145189 | FL | |
| Ophthalmology Physician | 207W00000X | ME145189 | FL | Primary |
| Ophthalmology Physician | 207W00000X | 57881 | TN |
Addresses
Primary practice location
2401 University Pkwy
Building 1, Suite 205
Sarasota, FL 34243-2973
Mailing address
2401 University Pkwy
Building 1, Suite 205
Sarasota, FL 34243-2973
Phone (419) 351-1200
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-2311
Other practice location 2
601 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (901) 767-4499
Other practice location 3
6947 Crumpler Blvd Ste 101
Olive Branch, MS 38654-1922
Phone (901) 767-4499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of Ny Upstate Medical University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2057 Charlie Hall Blvd
Suite a
Charleston, SC 29414-6164
Phone (888) 856-1878
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.99
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145189 | FL | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Eyecare Physicians LLC | Ophthalmology | Current | Accepting new patients |
| Carolina Eyecare Physicians, LLC | Ophthalmology | Past | Accepting new patients |
Locations
2060 Charlie Hall Blvd
Ste 201
Charleston, SC 29414
Phone (843) 722-2010
2057 Charlie Hall Blvd
Ste A
Charleston, SC 29414
Phone (843) 763-6491
1101 Clarity Rd
Mt Pleasant, SC 29464
Phone (843) 648-2037
2861 Tricom St
North Charleston, SC 29406
Phone (843) 725-0064
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- jbrugger@useye.intellechartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- N Charleston, SC
- NPI 1659421238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1013172105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 UNIVERSITY PKWY",
"address_2": "BUILDING 1, SUITE 205",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432973",
"telephone_number": "419-351-1200",
"fax_number": "941-351-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 UNIVERSITY PKWY",
"address_2": "BUILDING 1, SUITE 205",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432973",
"telephone_number": "419-351-1200",
"fax_number": "941-351-1201"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-2311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Matthews Ave",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724013145",
"country_code": "US",
"telephone_number": "901-767-4499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6947 Crumpler Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Olive Branch",
"state": "MS",
"postal_code": "386541922",
"country_code": "US",
"telephone_number": "901-767-4499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUGGER",
"first_name": "JONATHAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TN",
"license": "57881",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "FL",
"license": "ME145189",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME145189",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "57881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.