Dr Jack Bruder, MD - Medicare Urology in New York, NY

Dr Jack Bruder, MD is a medicare enrolled "Urology" physician in New York, New York. He went to New York Medical College and graduated in 1982 and has 42 years of diverse experience with area of expertise as Urology. He is a member of the group practice Groupo Medico Dominicano Pllc and his current practice location is 50 E 42nd St Rm 508, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 661-7003.

Dr Jack Bruder is licensed to practice in New York (license number 155544) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518974328.

Contact Information

Dr Jack Bruder, MD
50 E 42nd St Rm 508,
New York, NY 10017-5436
(212) 661-7003
(212) 661-7005

Map and Direction




Physician's Profile

Full NameDr Jack Bruder
GenderMale
SpecialityUrology
Experience42 Years
Location50 E 42nd St Rm 508, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jack Bruder attended and graduated from New York Medical College in 1982
  NPI Data:
  • NPI Number: 1518974328
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 05/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214982313
  • Enrollment ID: I20050322000014

Medical Identifiers

Medical identifiers for Dr Jack Bruder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518974328NPI-NPPES
01156GOtherMEDICARE GHI
0011594OtherGHI
01096693MedicaidNY
113945OtherAETNA
52313OtherGHI MEDICARE CHOICE
1900573OtherUNITED HEALTHCARE
NS1506OtherOXFORD HEALTH PLANS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 155544 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Bruder allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Lithotriptor Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891027967
PECOS PAC ID: 5193615730
Enrollment ID: O20040317001512
Entity NameBrooklyn Radiation Oncology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033163506
PECOS PAC ID: 3577530518
Enrollment ID: O20040910000508
Entity NameGroupo Medico Dominicano Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679646061
PECOS PAC ID: 8123125945
Enrollment ID: O20070512000044
Entity NameCardiology Unlimited Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174726855
PECOS PAC ID: 4082797576
Enrollment ID: O20080206000529
Entity NameLuzato Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649429382
PECOS PAC ID: 8921053026
Enrollment ID: O20090224000459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Bruder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Bruder, MD
50 E 42nd St Rm 508,
New York, NY 10017-5436

Ph: (212) 661-7003
Dr Jack Bruder, MD
50 E 42nd St Rm 508,
New York, NY 10017-5436

Ph: (212) 661-7003

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.