Dennis Bruder Odpa

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00355500 Issued in NJ

Legal business name

DENNIS BRUDER ODPA

Practice address

9 Broad St
Elizabeth, NJ 07201-2215

Phone

(908) 352-2186

Fax

(908) 351-1230

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Bruder, ODNPI 1356409288

Title

Optometrist

Phone

(908) 352-2186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Bruder, OD

  • Optometrist
  • Elizabeth, NJ
  • NPI 1356409288
  NPD (past) Authorized official
• Kanan Sharma, OD

  • Optometrist
  • Middletown, NY
  • NPI 1871212506
  NPD (past)

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356569800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012215",
            "telephone_number": "908-352-2186",
            "fax_number": "908-351-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012215",
            "telephone_number": "908-352-2186",
            "fax_number": "908-351-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS BRUDER ODPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUDER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "908-352-2186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00355500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7081201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Rita Delacruz, MASSAGE THERAPIST
• Jorge Luis Delgado, MD
• Delta Community Supports, Inc.
• Deluxe RX Pharmacy Corporation
• Junide Denestant
• Deo Brands LLC
• Deo Ny Retail 1 LLC
• Asia Depas
• Lisa M Derr, D.O.
• Carla Dersarkissian, D.D.S., M.S.

• Optometrist in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.