Bruce L Brodmerkle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02410 Issued in MO

Practice address

1115 Washington St
Chillicothe, MO 64601-1306

Phone

(660) 646-3937

Fax

(660) 646-4092

NPI assigned

Jun 15, 2006

Last updated

Nov 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

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

Optometry

Education

Southern College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sloan Eyecare Center L.L.CGroup PAC ID 6103891825, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sloan Eyecare Center L.L.C

  dba Premier Eyecare Associates

  • Optometrist
  • Brookfield, MO
  • NPI 1013051390
  Medicare reassignment NPD
• Sloan Eyecare Center LLC

  dba Premier EyeCare Associates

  • Optometrist
  • Chillicothe, MO
  • NPI 1568519643
  Medicare reassignment NPD
• Sloan Eyecare Center L.L.C

  dba Premier Eyecare Associates

  • Optometrist
  • Kirksville, MO
  • NPI 1740757186
  NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1407890262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011306",
            "telephone_number": "660-646-3937",
            "fax_number": "660-646-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011306",
            "telephone_number": "660-646-3937",
            "fax_number": "660-646-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODMERKLE",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311757003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Way, LLC
• Carolyn Ann Blackburn, FNP-C
• William E Brade, C.R.N.A.
• Roger O Brick, DC
• Bristol Care, Inc.
• Margaret K. Brookshier, L.P.C.
• Caarec, LLC
• Mary Frances Cady, PHARMD.
• Scott Allen Cady, PHARMD
• Cal W Greenlaw MD PC

• Optometrist in Chillicothe, MO
• Providers in Chillicothe, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.