Active NPI
Hugh Bruder, PMD
- Paramedic
- Weston, FL
National Provider Identifier
1780222786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- Practice address
- 1625 N Commerce Pkwy Ste 300
Weston, FL 33326-3206 - Phone
- (954) 765-6262
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | Primary | ||
| Other Technician | 247200000X | |||
| EEG Technician | 2472E0500X |
Addresses
Primary practice location
1625 N Commerce Pkwy Ste 300
Weston, FL 33326-3206
Mailing address
2640 SW 137TH Ter
Davie, FL 33330-1132
Phone (954) 765-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mended Minds Corp. | Technician, Other | Current | Accepting new patients |
Locations
1625 N Commerce Pkwy
Ste 300
Weston, FL 33326
Phone (954) 400-9001
Organizations & group practices 1
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": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1780222786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 SW 137TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333301132",
"telephone_number": "954-765-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY STE 300",
"city": "WESTON",
"state": "FL",
"postal_code": "333263206",
"telephone_number": "954-765-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUDER",
"first_name": "HUGH",
"credential": "PMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.