NPIMap

Individual provider Active NPI

Bruce Carlton Brink Jr., DO

  • Family Medicine Physician
  • Princeton, IN
National Provider Identifier
1902898190
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02000610A Issued in IN
Practice address
410 N Main St
Princeton, IN 47670-1516
Phone
(812) 386-7522
Fax
(812) 386-1097
NPI assigned
Aug 16, 2005
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02000610A IN Primary

Addresses

Primary practice location

410 N Main St
Princeton, IN 47670-1516

Mailing address

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-3401

Other identifiers 2

IdentifierTypeStateIssuer
100122180AMedicaidIN
300003786MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000784 IN Practitioner - Family Practice 6901708866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-9420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02000610AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brinks Family Practice PC Family Medicine CurrentSince Jul 15, 2009 Accepting new patients
Gibson General Hospital, Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Gibson County Auditor Current Accepting new patients
Gibson County Auditor Current Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Deaconess Clinic, Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

410 N Main St
Princeton, IN 47670
Phone (812) 385-3329

Interoperability endpoints

  • Direct secure messaging: bbrink45120@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riveroaks Health CampusPrinceton, IN, CCN 155732 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2014
Jun 17, 2025
Transcendent Healthcare of OwensvilleOwensville, IN, CCN 155502 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2007
Jun 1, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Good Samaritan Hospital

    dba RiverOaks Health Campus

    • Skilled Nursing Facility
    • Princeton, IN
    • NPI 1467564047

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Major Hospital

    dba Transcendent Healthcare of Owensville

    • Skilled Nursing Facility
    • Owensville, IN
    • NPI 1093923567

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 8

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1902898190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-3401",
            "fax_number": "812-385-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701516",
            "telephone_number": "812-386-7522",
            "fax_number": "812-386-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "BRUCE",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000610A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122180A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003786",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.