Individual provider Active NPI

Jonathan William Brugger, M.D.

  • Ophthalmology Physician
  • Sarasota, FL
National Provider Identifier
1013172105
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME145189 Issued in FL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314002938 SC Practitioner - Ophthalmology 2365791589 Reassigns benefits to 1 organization

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
Carolina Eyecare Physicians LLCGroup PAC ID 9638070436, 27 clinicians

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 100Reported as individual
Quality
99.99
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME145189FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eyecare Physicians LLC Ophthalmology CurrentSince Apr 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.