Individual provider Active NPI

Elliot Jackson Bruhl, MD

  • Family Medicine Physician
  • Rochester, MN
National Provider Identifier
1083691612
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57183 Issued in MN
Practice address
Mayo Clinic 200 1St St SW
Rochester, MN 55905
Phone
(904) 953-2285
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57183 MN Primary
Family Medicine Physician 207Q00000X 4036 AK

Addresses

Primary practice location

Mayo Clinic 200 1St St SW
Rochester, MN 55905

Mailing address

Mayo Clinic 200 1St St SW
Rochester, MN 55905-0001
Phone (904) 953-2285

Other practice location 1

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Other practice location 2

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebruhl131912@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060313000674 TX Practitioner - Family Practice 1254348444 Reassigns benefits to 1 organization
I20150501000553 MN Practitioner - Family Practice 1254348444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
96.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57183MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince May 27, 2019 Accepting new patients
Mayo Clinic Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

209 Moller Ave
Sitka, AK 99835
Phone (907) 747-1722

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1083691612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAYO CLINIC 200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "904-953-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYO CLINIC 200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55905",
            "telephone_number": "904-953-2285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Tongass Dr",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359416",
            "country_code": "US",
            "telephone_number": "907-966-2411",
            "fax_number": "907-966-8749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Tongass Dr",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359416",
            "country_code": "US",
            "telephone_number": "907-966-2411",
            "fax_number": "907-966-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUHL",
        "first_name": "ELLIOT",
        "middle_name": "JACKSON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "57183",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebruhl131912@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "Mayo Clinic 200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.