Individual provider Active NPI

Nataly Bruk, M.D

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1689061707
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME146292 Issued in FL
Practice address
2881 Hyde Park St
Sarasota, FL 34239-3228
Phone
(941) 366-9246
Fax
(941) 366-3015
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 296157 NY
Internal Medicine Physician 207R00000X 82122 GA
Internal Medicine Physician 207R00000X ME146292 FL Primary

Addresses

Primary practice location

2881 Hyde Park St
Sarasota, FL 34239-3228

Mailing address

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 366-9246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nataly.Bruk@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2881 Hyde Park St
Sarasota, FL 34239-3228

943 S Beneva Rd
Suite 306
Sarasota, FL 34232-2473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82122GAMDInternal Medicine Physician
296157NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hosptialists, LLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Intercoastal Medical Group Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

2881 Hyde Park St
Sarasota, FL 34239
Phone (941) 366-2460

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

2881 Hyde Park St
#2
Sarasota, FL 34239

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

5354 Reynolds St
Ste 424
Savannah, GA 31405
Phone (912) 819-5999

Interoperability endpoints

  • Direct secure messaging: nataly.bruk@img.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1689061707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-366-9246",
            "fax_number": "941-366-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-366-9246",
            "fax_number": "941-366-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUK",
        "first_name": "NATALY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296157",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "82122",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nataly.Bruk@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2881 Hyde Park St",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.