Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lawrence Michael Bruksch, MD

Individual provider Specialist · NPI 1073562203

Dr. Lawrence Michael Bruksch, MD is an Obstetrics/Gynecology in Santa Monica, California. Qualified in 1974, 52 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
52
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Santa Monica Blvd Ste 468W
Santa Monica, CA 90404-2180
Phone: (310) 255-0990
Fax: (310) 255-0996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 — (310) 582-7312

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence G31595 (CA)
Specialist Taxonomy 174400000X · Licence G31595 (CA)

Record details

NPI number1073562203
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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