NPIMap

Organization Active NPI

Bruce H Brumm MD PC

Doing business as Brumm Eye & LaserVision

  • Ophthalmology Physician
  • Omaha, NE
National Provider Identifier
1750393294
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13621 Issued in NE
Legal business name
BRUCE H BRUMM MD PC
Doing business as
Brumm Eye & LaserVision
Practice address
6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone
(402) 572-2020
Fax
(402) 572-2150
NPI assigned
Aug 13, 2006
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Jennifer L Weaver
Title
Administrator
Phone
(402) 572-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13621 NE Primary

Addresses

Primary practice location

6751 N 72ND St
Suite 105
Omaha, NE 68122-1746

Mailing address

6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone (402) 572-2020

Other identifiers 1

IdentifierTypeStateIssuer
CN7021OtherNERAILROAD MEDICARE GROUP

Other names 1

  • Brumm Eye & LaserVision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000231 NE Part B Supplier - Clinic/Group Practice 7315916186 Receives reassigned benefits from 5 practitioners
Practice locations: Omaha, NE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1750393294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N 72ND ST",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221746",
            "telephone_number": "402-572-2020",
            "fax_number": "402-572-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N 72ND ST",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221746",
            "telephone_number": "402-572-2020",
            "fax_number": "402-572-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE H BRUMM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-572-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "13621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CN7021",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brumm Eye & LaserVision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.