DONALD JOHN BRUST (MD) – Gastroenterology Physician, NPI 1255332656

DONALD JOHN BRUST (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 13072454-1205 (UT). The NPI Number for DONALD JOHN BRUST (MD) is 1255332656

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DONALD JOHN BRUST (MD)
NPI
1255332656
Phone
(702) 877-5199
Address
PO BOX 35380
Enumeration Date
9 August 2005
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4356587400
Graduation Year
1999 (27 years ago)
PAC ID
8224060157
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20230419001564
Address ID
UT840607552PA900XXDRXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

137 GASTROENTEROLOGY in UT

Provider Addresses for DONALD JOHN BRUST (MD)

  • McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States

    LAS VEGAS, NV 891335380

    Phone: (702) 877-5199

    Type: Mailing

  • 900 ROUND VALLEY DR STE 200

    PARK CITY, UT 840607552

    Phone: (435) 658-7400

    Type: Location

  • 3, West Oakey Boulevard, Las Vegas, Clark County, Nevada, 89102, United States

    LAS VEGAS, NV 89102

    Phone: (702) 877-5199

    Type: Location

  • PO BOX 27128

    SLC, UT 841270128

    Phone: (435) 658-7400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230419001564IGastroenterologyUTTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5757$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4941$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
45380Biopsy of large bowel using a flexible endoscope2525$0
99214Established patient office or other outpatient visit, 30-39 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

Loading plans...

Provider's Procedures

DONALD JOHN BRUST (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope111109

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: 1850209420View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DONALD JOHN BRUST (MD) by NPI?
Use NPI 1255332656 when you need to reference DONALD JOHN BRUST (MD) in forms, claims, or directories.
Does this profile mean DONALD JOHN BRUST (MD) is currently active?
Yes — DONALD JOHN BRUST (MD) appears active in the national provider directory.
What does DONALD JOHN BRUST (MD) treat or focus on?
Patients typically see DONALD JOHN BRUST (MD) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DONALD JOHN BRUST (MD)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for DONALD JOHN BRUST (MD).
Is DONALD JOHN BRUST (MD) a real provider?
This page reflects official NPPES data for NPI 1255332656. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

7110, Smoke Ranch Road, Las Vegas, Clark County, Nevada, 89128, United States
NPI: 1023017696

ARUMUGAM SIVAKUMAR (MD)

Gastroenterology Physician
McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States
NPI: 1578563102

MAHENDRA DEFONSEKA (M.D.)

Gastroenterology Physician
8010, West Sahara Avenue, The Lakes, Las Vegas, Clark County, Nevada, 89117, United States
NPI: 1699775684
700, Shadow Lane, University Medical Center, Las Vegas, Clark County, Nevada, 89106, United States
NPI: 1144214750

NICHOLAS TIBALDI (M.D.)

Gastroenterology Physician
2316, West Charleston Boulevard, Rancho Charleston, Las Vegas, Clark County, Nevada, 89102, United States
NPI: 1760478564

DR. VISHAL GANDOTRA (MD)

Gastroenterology Physician
West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States
NPI: 1336137603

DEB K. MUKHOPADHYAY (M.D.)

Gastroenterology Physician
653, North Town Center Drive, The Canyons, Summerlin, Las Vegas, Clark County, Nevada, 89144, United States
NPI: 1104816214

DR. MICHAEL CARL HJELKREM (M.D.)

Gastroenterology Physician
1650 COCHRANE CIR B7500
NPI: 1518949437

DR. LUIS A TUPAC (MD)

Gastroenterology Physician
South Maryland Parkway, Downtown Las Vegas, Las Vegas, Clark County, Nevada, 89101, United States
NPI: 1760466593