Individual provider Active NPI

Martin G Bruhl, MD

  • Ophthalmology Physician
  • Saint Paul, MN
National Provider Identifier
1417901455
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E15851 Issued in MN
Practice address
393 North Dunlap Street Ste 725
Lexington Eye Associates PA
St Paul, MN 55104-4298
Phone
(651) 646-7419
Fax
(651) 646-7419
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E15851 MN Primary

Addresses

Primary practice location

393 North Dunlap Street Ste 725
Lexington Eye Associates PA
St Paul, MN 55104-4298

Mailing address

393 North Dunlap Street Ste 725
Lexington Eye Associates PA
St Paul, MN 55104-4298
Phone (651) 646-7419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E15851MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates Ophthalmology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1417901455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 NORTH DUNLAP STREET STE 725",
            "address_2": "LEXINGTON EYE ASSOCIATES PA",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551044298",
            "telephone_number": "651-646-7419",
            "fax_number": "651-637-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 NORTH DUNLAP STREET STE 725",
            "address_2": "LEXINGTON EYE ASSOCIATES PA",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551044298",
            "telephone_number": "651-646-7419",
            "fax_number": "651-646-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHL",
        "first_name": "MARTIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "E15851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.