DR. PAUL CHRISTIAN BRUDERER (O.D.) – Optometrist, NPI 1316956576

DR. PAUL CHRISTIAN BRUDERER (O.D.) is a healthcare provider. based in West valley city, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4942085-9934 (UT). The NPI Number for DR. PAUL CHRISTIAN BRUDERER (O.D.) is 1316956576

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL CHRISTIAN BRUDERER (O.D.)
NPI
1316956576
Phone
(801) 969-9999
Address
2782 S 5600 W STE 101
Enumeration Date
5 August 2006
Last Update Date
1 July 2020

Doctor Profile

Medical School Name
INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Secondary Phone
8019699999
Graduation Year
2001 (25 years ago)
PAC ID
6507768942
Professional Enrollment ID
I20040124000430
Address ID
UT841205592WE2782X5600301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

Provider Addresses for DR. PAUL CHRISTIAN BRUDERER (O.D.)

  • 2782 S 5600 W STE 101

    WEST VALLEY CITY, UT 841205592

    Phone: (801) 969-9999

    Fax: (801) 746-1007

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,589.

Total Amount is formed as General ($1,589) + Research ($0) + Ownership ($0) = $1,589.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($673).

Total Amount

$1,589

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2004-01-24

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
I20040124000430IOptometryUTTBD

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
92250Photography of the retina1918$0
View full utilization report →

Insurance plans in this area (ZIP 84120)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. PAUL CHRISTIAN BRUDERER (O.D.)?
NPI 1316956576 is assigned to DR. PAUL CHRISTIAN BRUDERER (O.D.) under the national enumeration system.
Does this profile mean DR. PAUL CHRISTIAN BRUDERER (O.D.) is currently active?
Yes — DR. PAUL CHRISTIAN BRUDERER (O.D.) appears active in the national provider directory.
What kind of provider is DR. PAUL CHRISTIAN BRUDERER (O.D.)?
The page reflects Optometrist for DR. PAUL CHRISTIAN BRUDERER (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. PAUL CHRISTIAN BRUDERER (O.D.)'s primary listing?
We display West Valley City, Utah because that is what the record indicates for DR. PAUL CHRISTIAN BRUDERER (O.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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