Jason C Bruce, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23674 Issued in NE

Practice address

555 N 30TH St
Omaha, NE 68131-2136

Phone

(402) 498-6540

Fax

(402) 498-6387

NPI assigned

Nov 22, 2006

Last updated

Feb 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Father Flanagan's Boys' Home

  dba Boys Town National Research Hospital

  • Children's Hospital
  • Omaha, NE
  • NPI 1457458556

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Father Flanagan's Boys' Home

  dba Boys Town Professional Services

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1295821825
  Medicare reassignment NPD
• ENT Services PC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1194822130
  NPD (past)
• Father Flanagan's Boys Home

  dba Boys Town Center for Behavioral Health

  • Psychologist
  • Boys Town, NE
  • NPI 1265405419
  NPD (past)
• Father Flanagan's Boys' Home

  dba Boys Town Imaging Center

  • Radiology Clinic/Center
  • Omaha, NE
  • NPI 1528165644
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1720153703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-280-8100",
            "fax_number": "402-280-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-498-6540",
            "fax_number": "402-498-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "23674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce H Brumm MD PC
• Bruce H Brumm MD PC (Brumm Optical Boutique)
• Bruce H Brumm MD PC (Brumm Eye & LaserVision)
• Bruce H Brumm MD PC (Brumm Eye & Laservision)
• Diane Bruce, RN
• Jessica Bruce, PLMHP
• Michenzie Bruce, TLMHC
• Ramanda Lynn Bruce, LIMHP, LADC
• Shaela Mariah Daiella Bruce
• Andrew Bruch, DDS

• Pediatrics Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatrics Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.