DR. MICHAEL L BRUIN (MD) – Radiation Oncology Physician, NPI 1437119997
Radiation Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
312 RADIATION ONCOLOGY in IL
Provider Addresses for DR. MICHAEL L BRUIN (MD)
905 Medical Park Dr
Effingham, IL 62401
Phone: (217) 342-2066
Fax: (217) 342-2074
Type: Location
615 S New Ballas Rd
Saint Louis, MO 631418221
Phone: (314) 251-6930
Type: Location
7 Richland Medical Park Dr Ste 104
Columbia, SC 292036863
Phone: (803) 434-8740
Fax: (803) 434-8749
Type: Location
117 E KINGS HWY
EDEN, NC 272885201
Phone: (314) 251-6930
Type: Mailing
516 S VAN BUREN RD
EDEN, NC 272885019
Phone: (336) 623-6862
Type: Location
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SAINT LOUIS, MO 631418221
Phone: (314) 251-6930
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-03-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210818003855 | I | Radiation Oncology | NC | TBD |
| I20240321000082 | I | Radiation Oncology | SC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| - | SC | |
| - | SC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology, Neurology | NC | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Diagnostic Radiology | NC | |
| Qualified Audiologist | NC | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology, Interventional Radiology | MO |
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