DR. DAVID R BRUAH MD
NPI 1962511634
Family Medicine in Port Charlotte, FL

Q: What is David Bruah's NPI number?

The NPI number for David Bruah is 1962511634. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is David Bruah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Bruah was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 29, 2006PECOS Enrolled

21297 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952(855) 979-5700 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. David R Bruah Md NPPES

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

DR. DAVID R BRUAH MD (NPI 1962511634) is an individual family medicine provider in Port Charlotte, Florida, licensed in Florida (ME105412) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962511634

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DAVID R BRUAHCredential: MD

Location Address21297 OLEAN BLVD STE APort Charlotte, FL 33952-6704

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2625

Phone(855) 979-5700

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 22, 2019

✔ NPI 1962511634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME105412✔ Licensed in IL · 036-065568

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21297 OLEAN BLVD STE A, Port Charlotte, FL 33952

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Other Identifiers 1

Medicaid036065568 1IL

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. David R Bruah 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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 20

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

DANIEL CUETO M.D.

Hospitalist