Active NPI
Melissa Bruhl, DO
- Internal Medicine Physician
- Marshalltown, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R00398
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3917 | TN | MD | Clinical Psychologist |
| 305438 | NY | MD | Licensed Practical Nurse |
| DR.0064788 | CO | MD | Internal Medicine Physician |
| 3333 | IA | MD | Internal Medicine Physician |
| R00398 | IA | MD | Internal Medicine Physician |
| 05-43865 | KS | MD | Internal Medicine Physician |
| DO2770 | NV | MD | Internal Medicine Physician |
| DO01042 | RI | MD | Internal Medicine Physician |
| 2274 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of the West, P.C. | General Practice | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Suncrest Hospice | 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.
-
dba Suncrest Hospice
- Community Based Hospice Care Agency
- Cedar Rapids, IA
- NPI 1992535280
W-2 Managing Employee
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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1205176096
General Practice, IA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.