Carolyn M. Brug, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1061DT Issued in KY

Practice address

3161 Dixie Hwy
Ste D
Erlanger, KY 41018-1841

Phone

(859) 341-8600

Fax

(859) 341-3650

NPI assigned

Jan 17, 2006

Last updated

Jun 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1982683009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 DIXIE HWY",
            "address_2": "STE D",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181841",
            "telephone_number": "859-341-8600",
            "fax_number": "859-341-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 DIXIE HWY",
            "address_2": "STE D",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181841",
            "telephone_number": "859-341-8600",
            "fax_number": "859-341-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUG",
        "first_name": "CAROLYN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1061DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000033230",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "KY1061",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "K013140",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410030847",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Bloemer
• Tammy Jo Bowen, APRN
• Leslie Elizabeth Boyd
• Ellen Marie Britton, OTR/L
• Bruce Snider MD PSC
• Edward Lee Brush, MPT
• Lauren Bryan, APRN
• Kristen Bynum, PT
• Randi L Callahan, M.D.
• Patricia Canfield, D.O.

• Optometrist in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.