Charles Lewis Bruehl, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

188551 Issued in NY

Practice address

4415 Buffalo Rd
Suite 1B
North Chili, NY 14514-1024

Phone

(585) 594-9254

Fax

(585) 594-9233

NPI assigned

Sep 16, 2006

Last updated

Jul 9, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Mark Klier, MD

  dba Ogden Pediatrics

  • Pediatrics Physician
  • N. Chili, NY
  • NPI 1205187002
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306942123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 BUFFALO RD",
            "address_2": "SUITE 1B",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141024",
            "telephone_number": "585-594-9254",
            "fax_number": "585-594-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 BUFFALO RD",
            "address_2": "SUITE 1B",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141024",
            "telephone_number": "585-594-9254",
            "fax_number": "585-594-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEHL",
        "first_name": "CHARLES",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "188551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01299756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Aube
• Deborah Baran, M.S.
• Crystal Bateman, NP
• Tinisha Yvette Baxter, RN
• Nicole Bonin
• Alexis Danielle Burgess
• Hui Ruth Cai, M.D.
• Camarata Chiropractic PLLC
• Canandaigua Physical Therapy P.C. (Lattimore of North Chili PT)
• Tara Michelle Carr, LPN

• Pediatrics Physician in North Chili, NY
• Providers in North Chili, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.