Active NPI
Albert Ross Bruckner, CRNP
- Acute Care Nurse Practitioner
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP021184
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021184 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Hematology Oncology Association | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Oncology Hematology Association Inc | Current | Accepting new patients | |
| Oncology Hematology Association | Current | Accepting new patients | |
| Hematology Oncology Association | Current | 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
- 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.
-
dba AHN-Primary Care Bethel Park
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1114994324
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1861469223
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
dba Division of Hematology and Cellular Therapy
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1831405984
-
- Durable Medical Equipment & Medical Supplies
- Uniontown, PA
- NPI 1992769475
-
- Clinical Medical Laboratory
- Johnstown, PA
- NPI 1932256104
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.