Bruce J Brincko, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000514 Issued in IN

Practice address

1275 E North St
Crown Point, IN 46307-3538

Phone

(219) 663-9446

Fax

(219) 663-9450

NPI assigned

Aug 26, 2005

Last updated

Mar 10, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bruce.brincko.p1@direct.northshorehealth.nextgenshare.com

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.

• Northshore Health Centers Inc

  dba NorthShore Regional Health Centers

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1114257300
  NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1487647277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E NORTH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073538",
            "telephone_number": "219-663-9446",
            "fax_number": "219-663-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E NORTH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073538",
            "telephone_number": "219-663-9446",
            "fax_number": "219-663-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 E Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Knox",
            "state": "IN",
            "postal_code": "465342003",
            "country_code": "US",
            "telephone_number": "574-772-3780",
            "fax_number": "574-772-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINCKO",
        "first_name": "BRUCE",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "IN",
            "license": "07000514",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100168570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell L Bressack, M.D.
• Amberly Brewer, MD
• Kendal Brey, DPT
• Gary R. Brigham, M.D.
• Kristen Sue Brill, PTA
• Alea Ann Britton, BCBA
• Susan L Britton, COTA
• Reyfanette Broughton
• Caleb D Brown, PSYD
• Nicole Elizabeth Brown, RDN

• Foot & Ankle Surgery Podiatrist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.