OLEG BRUK P.A. NPI 1851440788

NPI Information

  • NPI: 1851440788
  • Provider Name: OLEG BRUK, P.A.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 SARNO RD
    MELBOURNE, FL
    ZIP 32935
  • Phone: (800) 348-4565

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NPI Details

Oleg Bruk, P.A. is a surgical physician assistant in Melbourne, FL with 47 years of experience. Oleg Bruk, P.A. NPI is 1851440788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 SARNO RD
MELBOURNE, FL
ZIP 32935-938
Phone: (800) 348-4565
Fax: (888) 468-6511

The NPI 1851440788 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 enumeration date for this NPI number is 1/9/2007 and was last updated on 9/16/2016.

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
1363AS0400XPhysician AssistantSurgicalPA9100709FLORIDAYes

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
1Q23182MEDICARE UPINFLORIDA
2U3140ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE PROVIDER
3291639800MEDICAIDFLORIDA

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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