Individual provider Active NPI

Brent Steven Bruck, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Omaha, NE
National Provider Identifier
1104310192
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
35687 Issued in NE
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

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47080542812MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
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 24 clinicians

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 Hospital, West Point, NE, CCN 281322
  • Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.02 of 100Reported as group
Quality
65.69
Promoting interoperability
89
Improvement activities
40
Cost
70.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35687NEMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Care, PC Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Midwest Eye Care PC CurrentSince Jul 1, 2023 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.