Individual provider Active NPI

Jorge Cesar Bruno, MD

  • Ophthalmology Physician
  • South Miami, FL
National Provider Identifier
1710052097
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
99381 Issued in FL
Practice address
5858 SW 68 St
South Miami, FL 33143-3693
Phone
(305) 661-8588
Fax
(305) 661-4906
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 99381 FL Primary

Addresses

Primary practice location

5858 SW 68 St
South Miami, FL 33143-3693

Mailing address

5858 SW 68 St
South Miami, FL 33143-3693
Phone (305) 661-8588

Other identifiers 1

IdentifierTypeStateIssuer
280981800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080205000583 FL Practitioner - Ophthalmology 8022191626 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99381FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A James Segal MD PA Medeyeassociates Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
Caffa Optics LLC Past Accepting new patients

Locations

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

5950 Sunset Dr
South Miami, FL 33143
Phone (305) 661-8585

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1710052097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 SW 68 ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588",
            "fax_number": "305-661-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 SW 68 ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588",
            "fax_number": "305-661-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JORGE",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "99381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280981800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.