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LANDON B BRUICH MD
NPI 1790531663
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 30, 2024PECOS Enrolled
4301 W MARKHAM ST # 634, LITTLE ROCK, AR 72205(501) 686-5545 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Landon B Bruich Md NPPES

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

LANDON B BRUICH MD (NPI 1790531663) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790531663
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANDON B BRUICHCredential: MD
Location Address4301 W MARKHAM ST # 634Little Rock, AR 72205-7101
Mailing Address400 Savannah Park CirConway, AR 72034-7297
Phone(501) 686-5545
Sole ProprietorYes
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1790531663 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.
4301 W MARKHAM ST # 634, Little Rock, AR 72205
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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)

Landon B Bruich Md 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.

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.

MU'NES ALBADAINEH MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 313-9501
GRANT ROBINSON MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
VIDHI DIPAK BHANUSHALI
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7592
DHARMIKKUMAR BHARATBHAI JADVANI
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5545
LINA MOHAMMAD SUBHI ALQIREM MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 646-5545
LEONARD FERDMAN
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7592
DR. ETHAN SETH SMITH MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5545
SHUNG MING CHIU MBBS
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5545

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 Landon Bruich's NPI number?

The NPI number for Landon Bruich is 1790531663. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Landon Bruich located?

Landon Bruich practices at 4301 W Markham St # 634, Little Rock, AR 72205. The listed phone number is (501) 686-5545.

What is Landon Bruich's specialty?

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

Is Landon Bruich enrolled in Medicare?

Yes. Landon Bruich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Landon Bruich was last updated on April 30, 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.