Active NPI
Matthew James Bruehl, MD
- Pediatric Pulmonology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 336628
- Practice address
- 1001 Main St FL 4
Buffalo, NY 14203-1009 - Phone
- (716) 323-0110
- Fax
- (716) 323-0296
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 35.152967 | OH | |
| Pediatric Pulmonology Physician | 2080P0214X | 2015-00802 | NC | |
| Pediatric Pulmonology Physician | 2080P0214X | MD488449 | PA | |
| Pediatric Pulmonology Physician | 2080P0214X | 336628 | NY | Primary |
Addresses
Primary practice location
1001 Main St FL 4
Buffalo, NY 14203-1009
Mailing address
1001 Main St FL 5
Buffalo, NY 14203-1009
Phone (716) 323-0225
Other practice location 1
818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000
Other practice location 2
2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000
Other practice location 3
1404 Sweet Home Rd Ste 5
Amherst, NY 14228-2778
Phone (716) 639-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Oklahoma College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336628 | NY | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STC Pediatrics LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Past | Accepting new patients |
Locations
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
2920 Highwoods Blvd
Raleigh, NC 27604
23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800
23 Sunnybrook Rd
Ste 200
Raleigh, NC 27610
Phone (919) 235-6435
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
Interoperability endpoints
- mbruehl14905@directhisp.wakemed.org
Organizations & group practices 8
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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- NPI 1548141997
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- NPI 1548805047
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- NPI 1003450420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1407119266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 5",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0225",
"fax_number": "716-323-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 4",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0110",
"fax_number": "716-323-0296"
}
],
"practiceLocations": [
{
"address_1": "818 Ellicott St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031021",
"country_code": "US",
"telephone_number": "716-323-2000",
"fax_number": "716-323-0296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2157 Main St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142142648",
"country_code": "US",
"telephone_number": "716-862-1000",
"fax_number": "716-323-0296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1404 Sweet Home Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "NY",
"postal_code": "142282778",
"country_code": "US",
"telephone_number": "716-639-9360",
"fax_number": "716-323-0296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUEHL",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "OH",
"license": "35.152967",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NC",
"license": "2015-00802",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "PA",
"license": "MD488449",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "336628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
- 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.