DR. LANCE RICHARD BRUCK
NPI 1396890075
Obstetrics & Gynecology in Bronx, NY
About Dr. Lance Richard Bruck NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LANCE RICHARD BRUCK (NPI 1396890075) is an individual obstetrics & gynecology provider in Bronx, New York, licensed in New York (200006) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Lance Richard Bruck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10461
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 Lance Bruck's NPI number?
The NPI number for Lance Bruck is 1396890075. It was assigned to this individual provider in the NPPES registry on January 24, 2007.
Where is Lance Bruck located?
Lance Bruck practices at 1601 Tenbroeck Ave, Bronx, NY 10461. The listed phone number is (718) 430-8701.
What is Lance Bruck's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lance Bruck enrolled in Medicare?
Yes. Lance Bruck is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lance Bruck was last updated on October 9, 2024. 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.
# Dr. Lance Richard Bruck · NPI 1396890075
Obstetrics & Gynecology physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1396890075 (Entity type: Individual)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 200006 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 TENBROECK AVE, Bronx, NY 10461-2007
- **Phone:** (718) 430-8701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York Medical College, class of 1993
## Record status
- **NPPES last updated:** October 9, 2024
- **Other identifiers:** Medicaid 01833898 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1396890075) · Data from the CMS NPPES public registry.