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PERRY BRUDER MD
NPI 1265235170
Student in an Organized Health Care Education/Training Program in Port St Lucie, FL

Active since March 28, 2025
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(612) 845-7154 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Perry Bruder Md NPPES

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

PERRY BRUDER MD (NPI 1265235170) is an individual student in an organized health care education/training program in Port St Lucie, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1265235170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePERRY BRUDERCredential: MD
Location Address1800 SE TIFFANY AVEPort St Lucie, FL 34952-7521
Mailing Address1800 Se Tiffany AvePort St Lucie, FL 34952-7521 · (612) 845-7154
Phone(612) 845-7154
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1265235170 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.
1800 SE TIFFANY AVE, Port St Lucie, FL 34952
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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. STEVEN M LANGER M.D.
Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-2471
DR. MICHAEL GULENAY D.O.
Emergency Medicine
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 398-1990
DR. KELLY MALOCH D.O.
Anesthesiology
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 521-2453
DR. MARY CLAIRE MCMILLAN DO
Family Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-3623
ANTONIO B MENCHAVEZ CRNA
Nurse Anesthetist, Certified Registered
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-2471
HCA HEALTH SERVICES OF FLORIDA, INC.
Psychiatric Unit
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4000
ICS RADIOLOGY, INC.
Radiology (Diagnostic Radiology)
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4000
DR. ADAN FERNANDO HERNANDEZ MD
Family Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 237-0813

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 Perry Bruder's NPI number?

The NPI number for Perry Bruder is 1265235170. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Perry Bruder located?

Perry Bruder practices at 1800 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (612) 845-7154.

What is Perry Bruder's specialty?

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

When was this NPI record last updated?

The NPPES record for Perry Bruder was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.