DR. JACK BRUDER M.D. NPI 1518974328

NPI Information

  • NPI: 1518974328
  • Provider Name: DR. JACK BRUDER, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 E 42ND ST RM 508
    NEW YORK, NY
    ZIP 10017
  • Phone: (212) 661-7003

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NPI Details

DR. Jack Bruder, M.D. is an urology in New York, NY with 44 years of experience. The provider is 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. DR. Jack Bruder, M.D. NPI is 1518974328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1982

The provider's business location address is:

50 E 42ND ST RM 508
NEW YORK, NY
ZIP 10017-436
Phone: (212) 661-7003
Fax: (212) 661-7005

The NPI 1518974328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Sex hormone binding globulin (protein) level (HCPCS:84270)
  • Testosterone (hormone) level, free (HCPCS:84402)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Vitamin d-3 level (HCPCS:82306)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Magnesium level (HCPCS:83735)
  • Phosphate level (HCPCS:84100)
  • Uric acid level, blood (HCPCS:84550)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Total protein level, blood (HCPCS:84155)
  • Phosphatase (enzyme) level, alkaline (HCPCS:84075)
  • Measurement of total estradiol (hormone) (HCPCS:82670)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Glutamyltransferase (liver enzyme) level (HCPCS:82977)
  • Amylase (enzyme) level (HCPCS:82150)
  • Bilirubin level, total (HCPCS:82247)
  • Calcium level, total (HCPCS:82310)
  • Blood creatinine level (HCPCS:82565)
  • Dehydroepiandrosterone (dhea-s) hormone level (HCPCS:82627)
  • Glycated protein level (HCPCS:82985)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Limited ultrasound scan of pelvis (HCPCS:76857)

The enumeration date for this NPI number is 8/2/2006 and was last updated on 5/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology155544NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10011594OTHERGHI
201096693MEDICAIDNEW YORK
3113945OTHERAETNA
401156GOTHERMEDICARE GHI
552313OTHERGHI MEDICARE CHOICE
6NS1506OTHEROXFORD HEALTH PLANS
71900573OTHERUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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