DR. CHARLES TODD BRUKER (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1376500835

DR. CHARLES TODD BRUKER (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 32816 (AL). The NPI Number for DR. CHARLES TODD BRUKER (M.D.) is 1376500835

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES TODD BRUKER (M.D.)
NPI
1376500835
Phone
(863) 683-7171
Address
1125 Bartow Rd
Enumeration Date
27 April 2006
Last Update Date
6 January 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9129275426
Graduation Year
2002 (24 years ago)
PAC ID
1850547811
Group Practice PAC ID
6204823826
Professional Enrollment ID
I20190311002898
Address ID
GA314191711SA11705BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for DR. CHARLES TODD BRUKER (M.D.)

  • 1125 Bartow Rd

    Suite 101

    Lakeland, FL 338015852

    Phone: (863) 683-7171

    Fax: (863) 687-0742

    Type: Location

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303741087

    Phone: (912) 350-8013

    Fax: (912) 350-8437

    Type: Mailing

  • Medical Center Pharmacy, 4700, Waters Avenue, Fairfield, Savannah, Chatham County, Georgia, 31404, United States

    SAVANNAH, GA 31404

    Phone: (912) 350-8013

    Fax: (912) 350-8437

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-05-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($25).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190311002898IPathologyGATBD
I20210331001831IPathologySCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity248173$0
88341Special stained specimen slides to examine tissue, each additional procedure24049$0
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method237236$0
88374Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure21135$0
88307Pathology examination of tissue using a microscope, moderately high complexity156108$0
View full utilization report →

Insurance plans in this area (ZIP 33801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204823826View full group profile
NameSpecialtyState
P A T H O L O G YOH
-SC
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YAL
P A T H O L O G YSC

Reviews

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Frequently asked questions

Is there an official ID for DR. CHARLES TODD BRUKER (M.D.) in U.S. healthcare records?
The official identifier for DR. CHARLES TODD BRUKER (M.D.) is NPI 1376500835.
Would DR. CHARLES TODD BRUKER (M.D.) appear as active to a payer?
You can treat DR. CHARLES TODD BRUKER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. CHARLES TODD BRUKER (M.D.)?
At a glance, DR. CHARLES TODD BRUKER (M.D.) is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES TODD BRUKER (M.D.) associated with Lakeland?
Public fields place DR. CHARLES TODD BRUKER (M.D.) around Lakeland, Florida. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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