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DR. GINA E BRUCK D.D.S.
NPI 1619990264
Dentist - General Practice in Shorewood, IL

Active since July 25, 2006PECOS Enrolled
607 W JEFFERSON ST, SHOREWOOD, IL 60404(815) 725-5991(815) 725-1983 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gina E Bruck D.d.s. NPPES

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

DR. GINA E BRUCK D.D.S. (NPI 1619990264) is an individual general practice provider in Shorewood, Illinois, licensed in Illinois (019025631) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619990264
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GINA E BRUCKCredential: D.D.S.
Location Address607 W JEFFERSON STShorewood, IL 60404-3700
Mailing Address607 W Jefferson StShorewood, IL 60404-3700 · (815) 725-5991 · Fax (815) 725-1983
Phone(815) 725-5991
Fax(815) 725-1983
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 13, 2016
✔ NPI 1619990264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019025631
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

607 W JEFFERSON ST, Shorewood, IL 60404
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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. Gina E Bruck D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60404 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

SHOREWOOD FAMILY DENTAL CARE LLP
Dentist (General Practice)
607 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 725-5991

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 Gina Bruck's NPI number?

The NPI number for Gina Bruck is 1619990264. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Gina Bruck located?

Gina Bruck practices at 607 W Jefferson St, Shorewood, IL 60404. The listed phone number is (815) 725-5991.

What is Gina Bruck's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gina Bruck enrolled in Medicare?

Yes. Gina Bruck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gina Bruck was last updated on July 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.