Charles O Bruce III, MD
Individual provider Active NPI Ophthalmology Physician · Louisville, KY
NPI 1730145657 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1730145657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 16209 (KY)
- Practice address
- 301 E Muhammad Ali Blvd
Louisville, KY 40202-1511 - Phone
- (502) 588-0550
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Louisville School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Louisville Physicians Inc
Practice addresses (Care Compare)
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 852-5466
571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616000672 | KY | Practitioner - Ophthalmology | 4486698800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisivlle Physicians | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Ophthalmology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16209 | KY | Yes |
Addresses
Primary practice location
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64162092 | Medicaid | KY | |
| 16209 | Other | KY | LICENSE |
| K267010 | Other | KY | MEDICARE |
| 300020691 | Medicaid | IN |
Other providers in Louisville, KY
- Brownsboro Hills Healthcare LLC
- Brownsboro Park Pediatrics
- Brownsboro Plastic and Hand Surgery, Inc
- Kristine Brucal
- Bruce a McKinney
- Tonya Marie Bruce
- Heather Lacole Bruck
- Benjamin Bruckner
- Kayla Jean Bruderle
- Lynda Kaye Bruederle
All providers in Louisville, KY · Ophthalmology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.