Active NPI
Matthew James Bruha, MD
- Urology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME171916
- Practice address
- 4715 S Florida Ave
Lakeland, FL 33813-2126 - Phone
- (863) 209-7004
- NPI assigned
- Apr 4, 2018
- Last updated
- Jul 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME171916 | FL | Primary |
Addresses
Primary practice location
4715 S Florida Ave
Lakeland, FL 33813-2126
Mailing address
702 N Alexander St
Plant City, FL 33563-3064
Phone (813) 722-8746
Other practice location 1
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Other practice location 2
702 N Alexander St
Plant City, FL 33563-3064
Phone (813) 722-8746
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbruha28925@direct.watsonclinicad.com | Watson Clinic LLP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Albany Medical College of Union University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 S Florida Ave
Lakeland, FL 33801-5228
Phone (863) 682-7246
702 N Alexander St
Plant City, FL 33563-3064
Phone (813) 722-8746
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME171916 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E & E Family LLC | Urology | Current | Accepting new patients |
| Pain Medicine Inc | Urology | Current | Accepting new patients |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| TBHC Physician Services PC | Current | Accepting new patients | |
| Lakeland FL Endoscopy ASC LLC | Current | Accepting new patients | |
| Brooklyn Hospital Radiology P C | Past | Accepting new patients |
Locations
202 Parkview Pl
Lakeland, FL 33805
Phone (863) 682-6686
3340 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (407) 451-5099
541 S Florida Ave
Lakeland, FL 33801
Phone (863) 682-3239
702 N Alexander St
Plant City, FL 33563
Phone (813) 722-8746
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
175 Remsen St
Fl 12
Brooklyn, NY 11201
86 Saint Felix St
Fl 7
Brooklyn, NY 11217
Phone (212) 379-6414
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
1 Research Rd
Ridge, NY 11961
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mbruha17675@prd.direct.tbh.org
Organizations & group practices 6
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.
-
- Urology Physician
- Plant City, FL
- NPI 1033087150
-
dba Surgery Center of Lakeland Hills Boulevard
- Ambulatory Surgical Clinic/Center
- Lakeland, FL
- NPI 1649244567
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1376580720
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Brandon Hospital
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
dba South Florida Baptist Hospital
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1750887907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 N ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335633064",
"telephone_number": "813-722-8746",
"fax_number": "863-682-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132126",
"telephone_number": "863-209-7004"
}
],
"practiceLocations": [
{
"address_1": "1600 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338053019",
"country_code": "US",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 N Alexander St",
"address_purpose": "LOCATION",
"city": "Plant City",
"state": "FL",
"postal_code": "335633064",
"country_code": "US",
"telephone_number": "813-722-8746",
"fax_number": "863-682-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUHA",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME171916",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbruha28925@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.