DR. JACK BRUDER M.D.
NPI 1518974328
Urology in New York, NY

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
50 E 42ND ST RM 508, NEW YORK, NY 10017(212) 661-7003(212) 661-7005 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Bruder M.d. NPPES

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

DR. JACK BRUDER M.D. (NPI 1518974328) is an individual urology provider in New York, New York, licensed in New York (155544) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1982).

NPPES Registry Identity

NPI1518974328
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JACK BRUDERCredential: M.D.
Location Address50 E 42ND ST RM 508New York, NY 10017-5436
Mailing Address50 E 42nd St Rm 508New York, NY 10017-5436 · (212) 661-7003 · Fax (212) 661-7005
Fax(212) 661-7005
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1982
Enumeration DateAugust 2, 2006
Last NPPES UpdateMay 9, 2022
NPPES CertifiedMay 9, 2022
NPI 1518974328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 155544
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
50 E 42ND ST RM 508, New York, NY 10017

Other Identifiers 7

Other0011594Ghi
Medicaid01096693NY
Other113945Aetna
Other01156GMedicare Ghi
Other52313Ghi Medicare Choice
OtherNS1506Oxford Health Plans
Other1900573United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Bruder M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214982313
PECOS Enrollment IDI20050322000014
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.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
90 services32 patients
Sex hormone binding globulin (protein) level 84270
Sex hormone binding globulin (SHBG) level is a blood test that measures a specific protein in your body. This protein helps regulate certain hormones. If these hormone levels are too high or too low, it may cause health issues. The test helps assess hormone-related conditions.
36 services27 patients
Testosterone (hormone) level, free 84402
A free testosterone level test measures the amount of unattached, or "free," testosterone in your blood. Testosterone is a hormone that's important for certain body functions. This test is used to check if your hormone level is in the normal range.
36 services27 patients
Testosterone (hormone) level, total 84403
A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.
36 services27 patients
Measurement of total estradiol (hormone) 82670
Total estradiol measurement is a simple blood test that examines the level of a key hormone in your body. This hormone plays a vital role in many body functions. The test helps understand if hormone levels are balanced, which can impact overall health.
33 services27 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
32 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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

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

Urology
50 E 42ND ST RM 508
NEW YORK, NY 10017

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 Jack Bruder's NPI number?

The NPI number for Jack Bruder is 1518974328. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jack Bruder located?

Jack Bruder practices at 50 E 42nd St Rm 508, New York, NY 10017. The listed phone number is (212) 661-7003.

What is Jack Bruder's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jack Bruder enrolled in Medicare?

Yes. Jack Bruder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Bruder was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.