Bruce L Bruskoff, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

213E00000X Issued in PA

Practice address

1304 Rhawn St
Phila, PA 19111-2870

Phone

(215) 742-1225

Fax

(215) 742-3902

NPI assigned

Jan 9, 2006

Last updated

Apr 21, 2020By 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 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Foot and Ankle Associates PCGroup PAC ID 3971587387, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pennsylvania Foot and Ankle Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1336298124
  Medicare reassignment Care Compare group NPD
• Peripheral Vascular Institute of Philadelphia LLC

  • Vascular-Interventional Technology Radiologic Technologist
  • Philadelphia, PA
  • NPI 1396074480
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1386622470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-514-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-742-1225",
            "fax_number": "215-742-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Oxford Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190677706",
            "country_code": "US",
            "telephone_number": "215-493-8300",
            "fax_number": "215-483-3096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Market Pl Ste 60",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189381059",
            "country_code": "US",
            "telephone_number": "215-862-2084",
            "fax_number": "215-862-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSKOFF",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "213E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000500788-0006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000500788-0007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James A. Brown
• Lafleur Brown
• Larheim Brown, M.S.
• Mark Brown, DC
• Sugkora Denae Brown
• James Bryant, RVT, RDCS
• Resnee Ann Bryant
• Samantha Capcino Bryant, M.S. CCC-SLP
• Theodore James Bunch, LPC
• Katrina Burgess, RD, LDN

• Podiatrist in Phila, PA
• Providers in Phila, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.