DR. BRUCE EDWARD NERENBERG PH.D.
NPI 1063428639
Psychologist - Clinical in Fort Wayne, IN

Q: What is Bruce Nerenberg's NPI number?

The NPI number for Bruce Nerenberg is 1063428639. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Bruce Nerenberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Nerenberg was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2006PECOS Enrolled

2121 LAKE AVE, FORT WAYNE, IN 46805(800) 360-8387(260) 460-1481 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Bruce Edward Nerenberg Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE EDWARD NERENBERG PH.D. (NPI 1063428639) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20042163A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063428639

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRUCE EDWARD NERENBERGCredential: PH.D.

Location Address2121 LAKE AVEFort Wayne, IN 46805-5100

Mailing Address5017 Bright Angel TrlFort Wayne, IN 46808-2973 · (414) 526-2040 · Fax (260) 444-2208

Phone(800) 360-8387

Fax(260) 460-1481

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateMarch 29, 2013

✔ NPI 1063428639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in IN · 20042163A✔ Licensed in WI · 057-1860

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2121 LAKE AVE, Fort Wayne, IN 46805

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Other Identifiers 1

Medicaid39112100WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Edward Nerenberg Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY MOEHLE

Registered Nurse (Oncology)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. CALEB ANDREW MOSSBURG PHARMD

Pharmacist

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. ASHLEY M FULTON PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

HANNAH DULINSKY RN

Registered Nurse (Home Health)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 460-1445

DANIELLE SCHULTZ

Registered Nurse

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. IAN H. COOK M.D.

Surgery

2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805

Allen County (260) 426-5431

SCOTT KRUSE

Social Worker (Clinical)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

MONICA JANE HALL

Registered Nurse (General Practice)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 456-0543

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Nerenberg's NPI number?

The NPI number for Bruce Nerenberg is 1063428639. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Bruce Nerenberg located?

Bruce Nerenberg practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (800) 360-8387.

What is Bruce Nerenberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bruce Nerenberg enrolled in Medicare?

Yes. Bruce Nerenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bruce Nerenberg was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.