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DR. JASON J BRUCKER MD
NPI 1174723373
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 25, 2007PECOS Enrolled
3332 ROCHAMBEAU AVE, BRONX, NY 10467(718) 920-6731 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason J Brucker Md NPPES

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

DR. JASON J BRUCKER MD (NPI 1174723373) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174723373
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JASON J BRUCKERCredential: MD
Location Address3332 ROCHAMBEAU AVEBronx, NY 10467
Mailing Address3332 Rochambeau Ave, Centenial Building, 3rd FloorBronx, NY 10467-2836 · (718) 920-6731 · Fax (718) 515-6103
Phone(718) 920-6731
Sole ProprietorNo
Enumeration DateJuly 25, 2007
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1174723373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3332 ROCHAMBEAU AVE, Bronx, NY 10467
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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. Jason J Brucker Md 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.

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.

ROBERT MCKEE DMD
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE, DEPARTMENT OF DENTISTRY
BRONX, NY 10467
Bronx County (718) 920-6266
KARI M PLEWNIAK M.D.
Obstetrics & Gynecology
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-5157
DR. PATRICK J NOLAN DDS
Oral & Maxillofacial Surgery
3332 ROCHAMBEAU AVE, 2ND FLOOR
BRONX, NY 10467
Bronx County (718) 920-5993
HIMABINDU GURUGUNTLA REDDY MD, MPH
Obstetrics & Gynecology (Gynecology)
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (919) 802-8486
JOANN KANG M.D.
Ophthalmology (Cornea and External Diseases Specialist)
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-2020
DR. SAMMY DAVID SAKA DMD
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-6266
DR. MARISSA ERICKSON DDS
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-6266
DR. HOLLY KRISTIN YETTAW LUTS MD
Obstetrics & Gynecology
3332 ROCHAMBEAU AVE, DEPT OF OB/GYN
BRONX, NY 10467
Bronx County (718) 920-5157

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 Jason Brucker's NPI number?

The NPI number for Jason Brucker is 1174723373. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Jason Brucker located?

Jason Brucker practices at 3332 Rochambeau Ave, Bronx, NY 10467. The listed phone number is (718) 920-6731.

What is Jason Brucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jason Brucker enrolled in Medicare?

Yes. Jason Brucker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Brucker was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.