DR. DANIEL LEE BRUCH D.O.
NPI 1164630026
Pediatrics in San Bernardino, CA

Q: What is Daniel Bruch's NPI number?

The NPI number for Daniel Bruch is 1164630026. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Daniel Bruch's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Bruch was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 21, 2007PECOS Enrolled

742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 881-7320 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Daniel Lee Bruch D.o. NPPES

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

DR. DANIEL LEE BRUCH D.O. (NPI 1164630026) is an individual pediatrics provider in San Bernardino, California, licensed in California (20A9501) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164630026

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DANIEL LEE BRUCHCredential: D.O.

Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839

Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 376-4438

Phone(909) 881-7320

Sole ProprietorYes

Enumeration DateMay 21, 2007

Last NPPES UpdateSeptember 12, 2023

NPPES CertifiedSeptember 12, 2023

✔ NPI 1164630026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 20A9501

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

742 W HIGHLAND AVE, San Bernardino, CA 92405

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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. Daniel Lee Bruch D.o. 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 92405 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

DR. CECIL CAGUIOA LAQUI M.D.

Internal Medicine

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MR. BRUCE G MCCANN PA-C

Physician Assistant (Medical)

742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405

San Bernardino County (909) 881-7320

SACHIN KUMAR CHATTA M.D.

Family Medicine

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MARETHA TYCE NP

Nurse Practitioner (Family)

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MISS VICKI NICOLE GONZALEZ JR.

Nurse Practitioner

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

MS. ELAINE MARIE GACKLE NP

Nurse Practitioner (Family)

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 213-0001

ANDREW REZK DO

Psychiatry & Neurology (Psychiatry)

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

CELENIA ELAINE RODRIGUEZ NP

Nurse Practitioner

742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

San Bernardino County (909) 881-7320

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 Daniel Bruch's NPI number?

The NPI number for Daniel Bruch is 1164630026. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Daniel Bruch located?

Daniel Bruch practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.

What is Daniel Bruch's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Daniel Bruch enrolled in Medicare?

Yes. Daniel Bruch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Bruch was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.