DR. JOHN BRET BRUDER (MD) – Emergency Medicine Physician, NPI 1205830759

DR. JOHN BRET BRUDER (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 01075910A (IN). The NPI Number for DR. JOHN BRET BRUDER (MD) is 1205830759

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN BRET BRUDER (MD)
NPI
1205830759
Phone
(513) 557-3333
Address
3131 QUEEN CITY AVE
Enumeration Date
10 June 2005
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665886897
Graduation Year
1999 (27 years ago)
PAC ID
5496776528
Group Practice PAC ID
7911185509
Professional Enrollment ID
I20200331000946
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. JOHN BRET BRUDER (MD)

  • Mercy Health — Queen City Medical Center, 3131, Queen City Avenue, Westwood, Cincinnati, Hamilton County, Ohio, 45238, United States

    CINCINNATI, OH 452382316

    Phone: (513) 557-3333

    Fax: (513) 557-3332

    Type: Location

  • 1472 SOLUTIONS CTR

    CHICAGO, IL 606771004

    Phone: (513) 557-3333

    Fax: (513) 557-3332

    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: 2022-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20051216000005IEmergency MedicineOHTBD
I20200331000946IEmergency MedicineINTBD
I20220620000766IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making1716$0
99284Emergency department visit with moderate level of medical decision making1513$0
View full utilization report →

Insurance plans in this area (ZIP 45238)

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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: 7911185509View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN BRET BRUDER (MD)?
The federal identifier for DR. JOHN BRET BRUDER (MD) is NPI 1205830759.
Is DR. JOHN BRET BRUDER (MD)'s NPI currently valid?
The extract we use shows DR. JOHN BRET BRUDER (MD) as active.
Does DR. JOHN BRET BRUDER (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. JOHN BRET BRUDER (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOHN BRET BRUDER (MD)?
The page summarizes Cincinnati, Ohio for DR. JOHN BRET BRUDER (MD); expand the address list for detail.
Is DR. JOHN BRET BRUDER (MD) a real provider?
This page reflects official NPPES data for NPI 1205830759. Always confirm identity and privileges with the practice and licensing boards.

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