Isaac Samuel Bruck, M.D., PH.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

52626 Issued in CT

Practice address

1901 First Avenue
Suite 2A31
New York, NY 10029

Phone

(212) 423-6684

Fax

(212) 423-6383

NPI assigned

Oct 5, 2011

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Merit-based Incentive Payment System (MIPS)

Final score

97.33 of 100Reported as group

Improvement activities

40

Cost

77.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibruck@hiemail.healtheconnections.org

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.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1073386421
  Medicare reassignment NPD
• Upstate Ny Doctor of Medicine PLLC

  • Hospitalist Physician
  • Amsterdam, NY
  • NPI 1356171490
  Medicare reassignment NPD
• Upstate Ny Physician PLLC

  • Emergency Medicine Physician
  • Amsterdam, NY
  • NPI 1487484523
  Medicare reassignment NPD
• Wajeeh Sana Physician PC

  • Emergency Medicine Physician
  • Amsterdam, NY
  • NPI 1700643830
  Medicare reassignment NPD
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1487409702
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1144504440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE",
            "address_2": "SUITE 2A31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6684",
            "fax_number": "212-423-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE",
            "address_2": "SUITE 2A31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6684",
            "fax_number": "212-423-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCK",
        "first_name": "ISAAC",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "275616",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "52626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Bruce, PHYSICIAN ASSISTANT
• Chantal Bruchez-Hall, PH.D.
• Laurie Jane Brucia, CNM
• Efrat Bruck
• Elena Bruck, M.D.
• Jason M Bruck, RN
• Benjamin M Brucker, MD
• Fredda Bruckner Gordon, DSW
• Ellie Bruckner
• Bruder MD Hair PC

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.