Active NPI
Robert Bruha, MD
- Nephrology Physician
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036109216
- Practice address
- 1302 Franklin Ave Ste 3000
Normal, IL 61761-6522 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036109216 | IL | Primary |
Addresses
Primary practice location
1302 Franklin Ave Ste 3000
Normal, IL 61761-6522
Mailing address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123
Other practice location 1
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109216 | Medicaid | IL | |
| P00047015 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040324001091 | IL | Practitioner - Nephrology | 3577454776 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Renalcare Associates, S.C.
Practice addresses (Care Compare)
1302 Franklin Ave
Suite 3000
Normal, IL 61761-6522
Phone (309) 663-4766
Hospital & facility affiliations
- FMC - McLean County
- FMC - Normal Dialysis
- St Joseph Medical Center
- Carle Bromenn Medical Center
- Saint Francis Medical Center
- Carle Eureka Hospital
- Saint James Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036109216 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renalcare Associates, S.C. | Nephrology | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Fresenius Medical Care Normal, LLC | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
527 E Grant St
Macomb, IL 61455
Phone (309) 344-7546
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456
1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785
600 S 13th St
Ste K
Pekin, IL 61554
Phone (309) 347-1151
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
200 E Pennsylvania Ave
Ste 212
Peoria, IL 61603
Phone (309) 624-9259
Interoperability endpoints
- rbruha7642@direct.acumenmd.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bloomington, IL
- NPI 1881245405
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Normal, IL
- NPI 1124441340
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bloomington, IL
- NPI 1326420563
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1043340367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033112",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 FRANKLIN AVE STE 3000",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616522",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
}
],
"practiceLocations": [
{
"address_1": "420 NE Glen Oak Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616033112",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUHA",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036109216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109216",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00047015",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.