Active NPI
Brent Steven Bruck, MD
- Glaucoma Specialist (Ophthalmology) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 35687
- Practice address
- 4353 Dodge St
Omaha, NE 68131-2709 - Phone
- (402) 552-2020
- Fax
- (402) 552-2367
- NPI assigned
- Jun 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 35687 | NE | Primary |
| Ophthalmology Physician | 207W00000X | 35687 | NE |
Addresses
Primary practice location
4353 Dodge St
Omaha, NE 68131-2709
Mailing address
4353 Dodge St
Omaha, NE 68131-2709
Phone (402) 552-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47080542812 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731002817 | NE | Practitioner - Ophthalmology | 1153703681 | Reassigns benefits to 1 organization |
| I20230731003235 | IA | Practitioner - Ophthalmology | 1153703681 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Washington University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Eye Care PC
Practice addresses (Care Compare)
4353 Dodge St
Omaha, NE 68131-2709
Phone (402) 552-2020
715 Harmony St
Suite 300
Council Bluffs, IA 51503-3147
Phone (402) 552-2020
Hospital & facility affiliations
- St Francis Memorial Hospital
- Clarinda Regional Health Center
- The Nebraska Methodist Hospital
- CHI Health Mercy Council Bluffs
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 82.13
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.97 of 100
- Quality
- 34.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.02 of 100
- Quality
- 65.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 70.2
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 418 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35687 | NE | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Eye Care, PC | Ophthalmology | Current | Accepting new patients |
| Midwest Eye Care PC | Current | Accepting new patients | |
| Midwest Eye Care, PC | Ophthalmology | Past | Accepting new patients |
Locations
116 E Washington St
Clarinda, IA 51632
Phone (712) 542-6513
715 Harmony St
Ste 300
Council Bluffs, IA 51503
Phone (712) 388-2600
4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599
13500 California St
Omaha, NE 68154
101 W Decatur St
West Point, NE 68788
Phone (402) 372-3266
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 and National Provider Directory roles.
-
- Optician
- Fremont, NE
- NPI 1669585196
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1104310192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4353 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312709",
"telephone_number": "402-552-2020",
"fax_number": "402-552-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4353 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312709",
"telephone_number": "402-552-2020",
"fax_number": "402-552-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCK",
"first_name": "BRENT",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "NE",
"license": "35687",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NE",
"license": "35687",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47080542812",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.