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

Q: 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.

Q: What is Jack Bruder's specialty?

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

Q: 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.

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: October 18, 2026.

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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

Phone(212) 661-7003

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

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Other Identifiers 7

Other0011594Ghi

Medicaid01096693NY

Other113945Aetna

Other01156GMedicare Ghi

Other52313Ghi Medicare Choice

OtherNS1506Oxford Health Plans

Other1900573United Healthcare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jack Bruder reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luzato Medical Group, P.C.

Same address

Urology

50 E 42ND ST RM 508
New York, NY 10017

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Luzato Medical Group PC
3 clinicians in this Medicare group

NPI 1649429382 (212) 661-7003

Groupo Medico Dominicano PLLC

7.3 mi

Interventional Cardiology

629 W 185TH ST
New York, NY 10033

Reassigned Medicare billing, New York enrollment
16 clinicians in this Medicare group

NPI 1679646061 (212) 928-3900

Cardiology Unlimited PC

9.8 mi

Cardiovascular Disease

3131 GRAND CONCOURSE, SUITE 1B
Bronx, NY 10468

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1174726855 (718) 295-7900

Brooklyn Radiation Oncology PC

11 mi

Radiation Oncology

2101 AVENUE X
Brooklyn, NY 11235

Reassigned Medicare billing, New York enrollment
28 clinicians in this Medicare group

NPI 1033163506 (718) 517-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Glycated protein level 82985

Glycated protein level is a test that measures the amount of sugar attached to proteins in your blood. This gives an idea of your average blood sugar levels over the past few weeks. It's often used to monitor diabetes management.

32 services26 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

30 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services19 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

27 services24 patients

Dehydroepiandrosterone (dhea-s) hormone level 82627

The Dehydroepiandrosterone (DHEA-S) hormone level test is a blood test that checks the amount of a natural steroid hormone in your body. This hormone helps in managing stress and maintaining overall health. Any imbalance can lead to various health issues.

25 services22 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

20 services20 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

17 services13 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

17 services13 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

17 services13 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

16 services12 patients

Amylase (enzyme) level 82150

Amylase is an enzyme that helps break down starches into sugars during digestion. An amylase level test measures the amount of this enzyme in your blood or urine. This test helps identify conditions like pancreatitis or other digestive issues.

15 services11 patients

Bilirubin level, total 82247

A total bilirubin level test is a blood test that helps check how well your liver is functioning. It measures bilirubin, a yellow substance your body creates when it breaks down red blood cells. High levels may indicate a problem with your liver or bile duct.

15 services11 patients

Calcium level, total 82310

A total calcium level test measures the amount of calcium in your blood. Calcium is essential for body functions like bone formation, nerve signal transmission, and muscle contraction. Abnormal levels may indicate conditions like bone disease or kidney disorders.

15 services11 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

15 services11 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

15 services11 patients

Glutamyltransferase (liver enzyme) level 82977

Glutamyltransferase (GGT) level is a blood test that helps check your liver's health. High GGT levels may indicate liver disease or damage. The test involves a simple blood draw and results help your doctor understand your liver's condition better.

15 services11 patients

Phosphatase (enzyme) level, alkaline 84075

The Alkaline Phosphatase Level test measures the amount of alkaline phosphatase, an enzyme, in your blood. High or low levels can indicate a variety of health conditions, such as liver disease or bone disorders. It's a common test done to help diagnose and monitor these conditions.

15 services11 patients

Total protein level, blood 84155

A total protein level blood test measures the amount of proteins in your blood. Proteins are essential for body functions, including immune response, tissue repair, and nutrient transportation. Abnormal levels may indicate certain diseases or conditions. It's a simple test involving a blood draw.

15 services11 patients

Liver enzyme (sgot), level 84450

A Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.

15 services11 patients

Liver enzyme (sgpt), level 84460

A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.

15 services11 patients

Urea nitrogen level to assess kidney function, quantitative 84520

The urea nitrogen level test is a routine blood test that checks the amount of urea nitrogen in your blood to evaluate how well your kidneys are working. If the levels are higher than normal, it may indicate that your kidneys are not functioning properly.

15 services11 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

14 services13 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

13 services13 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.

LUZATO MEDICAL GROUP, P.C.

Urology

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

New York County (212) 661-7003

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.

Which organizations bill Medicare for Jack Bruder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Bruder reassigns Medicare benefits to 4 organizations: Luzato Medical Group, P.C. (New York, NY), Groupo Medico Dominicano PLLC (New York, NY), Cardiology Unlimited PC (Bronx, NY) and Brooklyn Radiation Oncology PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Bruder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.