Individual provider Active NPI

Albert Ross Bruckner, CRNP

  • Acute Care Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1619513702
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP021184 Issued in PA
Practice address
4815 Liberty Ave Ste 322
Pittsburgh, PA 15224-2156
Phone
(412) 578-4484
Fax
(412) 578-3536
NPI assigned
Nov 23, 2019
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP021184 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP021184 PA

Addresses

Primary practice location

4815 Liberty Ave Ste 322
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 322
Pittsburgh, PA 15224-2156
Phone (412) 578-4484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231001381 PA Practitioner - Nurse Practitioner 6901230887 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021184PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Hematology Oncology Association CurrentSince Jan 6, 2020 Accepting new patients
Allegheny Clinic CurrentSince Feb 24, 2023 Accepting new patients
Allegheny Clinic CurrentSince Feb 24, 2023 Accepting new patients
Oncology Hematology Association Inc CurrentSince Dec 1, 2019 Accepting new patients
Oncology Hematology Association CurrentSince Dec 1, 2019 Accepting new patients
Hematology Oncology Association CurrentSince Jan 6, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

400 Oxford Dr
Ste 102
Monroeville, PA 15146
Phone (412) 374-1441

320 E North Ave
Fl 4
Pittsburgh, PA 15212
Phone (412) 359-3319

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4815 Liberty Ave
Ste 322
Pittsburgh, PA 15224
Phone (412) 330-2509

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: abruckner590169@direct.ahn.org

Organizations & group practices 10

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": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1619513702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 322",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-4484",
            "fax_number": "412-578-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 322",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-4484",
            "fax_number": "412-578-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKNER",
        "first_name": "ALBERT",
        "middle_name": "ROSS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP021184",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP021184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.