Oleg Bruk, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9100709 Issued in FL

Practice address

1600 Sarno Rd
Melbourne, FL 32935-4938

Phone

(800) 348-4565

Fax

(888) 468-6511

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment Care Compare group
• Healthcare Surgical Services, Inc.

  • Medical-Surgical Registered Nurse
  • Miami Lakes, FL
  • NPI 1235230244
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Hospital Corporation of South Broward

  dba HCA Florida Westside Hospital

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1851440788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031320",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354938",
            "telephone_number": "800-348-4565",
            "fax_number": "888-468-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUK",
        "first_name": "OLEG",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291639800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brownings Pharmacy and Health Care Inc (Brownings Pharmacy)
• Shatarra Lashay Brownlee
• Guy Steven Bruce, ED.D; BCBA-D
• Robert Monroe Bruckart, PH.D., M.A., M.DIV.
• Patrick Kent Brueggeman, D.P.M.
• Karley Mills Brunelle, M.A.
• Juliana N Bruner
• Victoria Brunner
• Lily Rosza Brush, RBT
• Bry-Whit Enterprises LLC (Platinum Oaks ALF)

• Surgical Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.

Verify at the official NPI Registry.