DR. BRENT STEVEN BRUCK (MD) – Internal Medicine Physician, NPI 1104310192

DR. BRENT STEVEN BRUCK (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 35687 (NE). The NPI Number for DR. BRENT STEVEN BRUCK (MD) is 1104310192

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT STEVEN BRUCK (MD)
NPI
1104310192
Phone
(314) 362-5000
Address
660 S EUCLID AVE # 8121
Enumeration Date
21 June 2018
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4025522020
Graduation Year
2018 (8 years ago)
PAC ID
1153703681
Group Practice PAC ID
8628960572
Professional Enrollment ID
I20230731002817
Address ID
NE681312709OM4353XSTXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

444 OPHTHALMOLOGY in MO

Provider Addresses for DR. BRENT STEVEN BRUCK (MD)

  • 660 S EUCLID AVE # 8121

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5000

    Type: Mailing

  • ONE BARNES-JEWISH PLAZA

    ST. LOUIS, MO 63110

    Phone: (314) 362-5000

    Type: Location

  • 660 S EUCLID AVE

    CB 8096

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-3937

    Fax: (866) 505-8818

    Type: Mailing

  • 4901 FOREST PARK AVE

    6TH FL

    SAINT LOUIS, MO 631081495

    Phone: (314) 362-3937

    Fax: (866) 505-8818

    Type: Location

  • 4353 DODGE ST

    OMAHA, NE 681312709

    Phone: (402) 552-2020

    Fax: (402) 552-2367

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $505.

Total Amount is formed as General ($505) + Research ($0) + Ownership ($0) = $505.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Alcon Vision LLC ($248).

Total Amount

$505

General + Research + Ownership

Payments

7

Total payment records

General Amount

$505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

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: 2023-07-31

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
I20230731002817IOphthalmologyNETBD
I20230731003235IOphthalmologyIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8475$0
92136Measurement of corneal curvature and depth of eye7761$0
99214Established patient office or other outpatient visit, 30-39 minutes5856$0
92083Exam of visual field with extended testing5755$0
92133Imaging of optic nerve5452$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 8628960572View full group profile
NameSpecialtyState
O P T O M E T R YNE
O P T O M E T R YIA
O P T O M E T R YNE
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE

Reviews

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Frequently asked questions

Where can patients find DR. BRENT STEVEN BRUCK (MD)'s NPI?
You can confirm DR. BRENT STEVEN BRUCK (MD) with NPI 1104310192; it appears in the national provider directory.
Does this profile mean DR. BRENT STEVEN BRUCK (MD) is currently active?
Yes — DR. BRENT STEVEN BRUCK (MD) appears active in the national provider directory.
What does DR. BRENT STEVEN BRUCK (MD) treat or focus on?
Patients typically see DR. BRENT STEVEN BRUCK (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRENT STEVEN BRUCK (MD)?
The page summarizes Saint Louis, Missouri for DR. BRENT STEVEN BRUCK (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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