Gregory J Bruchs, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3399 Issued in OH

Practice address

3100 Governors Place Blvd
Ste 100
Kettering, OH 45409-1335

Phone

(937) 297-7676

Fax

(937) 297-7690

NPI assigned

Jun 13, 2005

Last updated

Nov 20, 2007By 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 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Warwar Eye Group

  • Eyewear Supplier
  • Kettering, OH
  • NPI 1851515423
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1245234749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GOVERNORS PLACE BLVD",
            "address_2": "STE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091335",
            "telephone_number": "937-297-7676",
            "fax_number": "937-297-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GOVERNORS PLACE BLVD",
            "address_2": "STE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091335",
            "telephone_number": "937-297-7676",
            "fax_number": "937-297-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCHS",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "310949280026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449009",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000009496",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0510790001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2280338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Taylor Brown, DO
• Kiyana Brown
• Nukemia Kaye Brown
• Dorian Broyles
• James Alan Bruce, M.D.
• Dana Brun, RN
• Lawrence G Brun, DDS
• Nathan B Brush, CRNA
• Alyssa D Bryan
• Bobbie Lynn Bryant, LPN

• Optometrist in Kettering, OH
• Providers in Kettering, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.