Individual provider Active NPI

Robert Bruha, MD

  • Nephrology Physician
  • Normal, IL
National Provider Identifier
1043340367
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036109216 Issued in IL
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

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036109216MedicaidIL
P00047015OtherILRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

1302 Franklin Ave
Suite 3000
Normal, IL 61761-6522
Phone (309) 663-4766

Hospital & facility affiliations

  • FMC - McLean County Dialysis facility, Bloomington, IL, CCN 142563
  • FMC - Normal Dialysis Dialysis facility, Normal, IL, CCN 142778
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Carle Eureka Hospital Hospital, Eureka, IL, CCN 141309
  • Saint James Hospital Hospital, Pontiac, IL, CCN 140161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109216ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 28, 2003 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 25, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 24, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Fresenius Medical Care Normal, LLC PastSince May 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.