Active NPI
John Bret Bruder, MD
- Emergency Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35081559
- Practice address
- 3131 Queen City Ave
Cincinnati, OH 45238-2316 - Phone
- (513) 557-3333
- Fax
- (513) 557-3332
- NPI assigned
- Jun 10, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01075910A | IN | |
| Family Medicine Physician | 207Q00000X | 35907 | KY | |
| Emergency Medicine Physician | 207P00000X | 35081559 | OH | Primary |
Addresses
Primary practice location
3131 Queen City Ave
Cincinnati, OH 45238-2316
Mailing address
1472 Solutions Ctr
Chicago, IL 60677-1004
Phone (513) 557-3333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200498590 | Medicaid | IN | |
| 2351066 | Medicaid | OH | |
| 64076219 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35081559 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Company of Tennessee PLLC | Emergency Medicine | Current | Accepting new patients |
| Indiana Emergency Professionals PC | Emergency Medicine | Current | Accepting new patients |
| Western Healthcare Services Kentucky LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
720 S 6th St
Monticello, IN 47960
Phone (574) 583-1776
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
Organizations & group practices 4
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.
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- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
-
- Emergency Medicine Physician
- Jackson, KY
- NPI 1770243842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1205830759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1472 SOLUTIONS CTR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771004",
"telephone_number": "513-557-3333",
"fax_number": "513-557-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 QUEEN CITY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382316",
"telephone_number": "513-557-3333",
"fax_number": "513-557-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUDER",
"first_name": "JOHN",
"middle_name": "BRET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01075910A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "35907",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35081559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200498590",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2351066",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64076219",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.