Individual provider Active NPI

Melissa Bruhl, DO

  • Internal Medicine Physician
  • Marshalltown, IA
National Provider Identifier
1497833784
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R00398 Issued in IA
Practice address
1301 Summit St
Marshalltown, IA 50158-5484
Phone
(641) 753-4518
Fax
(641) 753-4203
NPI assigned
Nov 2, 2006
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3333 IA
Internal Medicine Physician 207R00000X 008657 AZ
Internal Medicine Physician 207R00000X DR.0064788 CO
Internal Medicine Physician 207R00000X 05-43865 KS
Internal Medicine Physician 207R00000X 04726 KY
Internal Medicine Physician 207R00000X 5101025782 MI
Internal Medicine Physician 207R00000X DO2770 NV
Internal Medicine Physician 207R00000X 305438 NY
Internal Medicine Physician 207R00000X 34.014683 OH
Internal Medicine Physician 207R00000X DO01042 RI
Internal Medicine Physician 207R00000X 3917 TN
Internal Medicine Physician 207R00000X OP61076411 WA
Internal Medicine Physician 207R00000X R00398 IA Primary

Addresses

Primary practice location

1301 Summit St
Marshalltown, IA 50158-5484

Mailing address

1301 Summit St
Marshalltown, IA 50158-5484
Phone (641) 753-4518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TN, FL, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080814000064 IA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 3072688845 Reassigns benefits to 1 organization
I20201117000346 TN Practitioner - Internal Medicine 3072688845 Reassigns benefits to 1 organization
I20201125002325 FL Practitioner - Internal Medicine 3072688845
I20210525002415 VA Practitioner - Internal Medicine 3072688845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3917TNMDClinical Psychologist
305438NYMDLicensed Practical Nurse
DR.0064788COMDInternal Medicine Physician
3333IAMDInternal Medicine Physician
R00398IAMDInternal Medicine Physician
05-43865KSMDInternal Medicine Physician
DO2770NVMDInternal Medicine Physician
DO01042RIMDInternal Medicine Physician
2274NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of the West, P.C. General Practice CurrentSince May 24, 2021 Accepting new patients

Locations

2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Suncrest HospiceCedar Rapids, IA, CCN 161618 Hospice W-2 Managing Employee Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1497833784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMIT ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585484",
            "telephone_number": "641-753-4518",
            "fax_number": "641-753-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMIT ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585484",
            "telephone_number": "641-753-4518",
            "fax_number": "641-753-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHL",
        "first_name": "MELISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "3333",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "008657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0064788",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-43865",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04726",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101025782",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2770",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.014683",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO01042",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "3917",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61076411",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R00398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.