Bruck, Brent Steven

Bruck, Brent Steven is an individual health care provider with primary practice located at 4353 Dodge St , Omaha NE 68131-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Bruck, Brent Steven can be contacted via phone (402) 552-2020.

Contact Information

Primary practice address
4353 Dodge St Omaha NE 68131-2709
Phone: (402) 552-2020
Fax: (402) 552-2367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 35687 Nebraska
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35687 Nebraska

Profile Details

NPI number 1104310192
LBN Legal business name Bruck, Brent Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Jan 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104310192 NPPES
Nebraska MEDICAID 47080542812

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