Individual provider Active NPI

Brooke D Kruman, OD

  • Optometrist
  • Easton, PA
National Provider Identifier
1740824119
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004281 Issued in PA
Practice address
2200 St Lukes Blvd Ste 104
Easton, PA 18045-5665
Phone
(484) 658-9330
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004281 PA Primary

Addresses

Primary practice location

2200 St Lukes Blvd Ste 104
Easton, PA 18045-5665

Mailing address

2200 St Lukes Blvd Ste 104
Easton, PA 18045-5665
Phone (484) 658-9330

Other identifiers 1

IdentifierTypeStateIssuer
OEG004281OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220513000891 IN Practitioner - Optometry 4284053273 Reassigns benefits to 1 organization
I20250827002832 PA Practitioner - Ophthalmology 4284053273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, shared by 3 NPIs, 374 clinicians

Practice addresses (Care Compare)

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

2200 St Luke'S Blvd
Easton, PA 18045-5665

755 Memorial Pkwy
Suite 202a
Phillipsburg, NJ 08865-2773
Phone (484) 658-9330

801 Ostrm St
Bethlehem, PA 18015-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2394AZMDDentist
OEG004281PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Sep 8, 2025 Accepting new patients
Simpson & Bigham OD Partnership Optometrist CurrentSince May 11, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Sep 8, 2025 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

2417 W Franklin St
Evansville, IN 47712
Phone (812) 423-5000

2200 St Lukes Blvd
Ste 104
Easton, PA 18045
Phone (484) 658-9330

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: bkruman350394@direct-sluhn.org

Organizations & group practices 5

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1740824119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD STE 104",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-658-9330",
            "fax_number": "484-503-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD STE 104",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-658-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMAN",
        "first_name": "BROOKE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OEG004281",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.