Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457001489 Individual Practitioner Male Practitioner

Dr. Jacob Paul Brucker , DO

Ophthalmology • Beavercreek, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Brucker, DO is a registered healthcare professional specializing in Ophthalmology in Beavercreek, OH. Practice services are available at 2145 N FAIRFIELD RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2145 N Fairfield Rd Ste 100

Beavercreek, OH 454312783

Telephone 9375583900
Fax 9375583999

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Beavercreek, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Beavercreek, OH (803 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-19
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 012274

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

General Practice

NUCC Taxonomy Code: 208D00000X

State License OH 58.032632

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mateo Leal Rodriguez , MD

Student in an Organized Health Care Education/Training Program

NPI 1003618547

Doctor of Medicine (M.D.)

Dr. Jordan Councell , MD

Student in an Organized Health Care Education/Training Program

NPI 1033904495

Doctor of Medicine (M.D.)

Dr. Phillip Witcher , MD

Student in an Organized Health Care Education/Training Program

NPI 1043005515

Doctor of Medicine (M.D.)

Fatima Zehra Boumahchad

Student in an Organized Health Care Education/Training Program

NPI 1043005994
Dr. Elizabeth Smith , DO

Student in an Organized Health Care Education/Training Program

NPI 1053113472

Doctor of Osteopathic Medicine (D.O.)

Katherine Krueger

Student in an Organized Health Care Education/Training Program

NPI 1053255547

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2026

Ophthalmology (License #012274 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

General Practice (License #58.032632 in OH)

NPI Profile Active March 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2022

Registered at 2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 454312783 (Tel: 9375583900)

📍
Updated Business Mailing Address March 24, 2022

Registered at 2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 454312783

👤
Provider Name / Credentials Updated March 24, 2022

Recorded as JACOB BRUCKER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457001489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2022
Last Update: May 19, 2026
Sole Proprietor: No

Mailing Address

2145 N Fairfield Rd Ste 100

Beavercreek, OH 454312783

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.