Individual provider Active NPI

Daniel L Bruns, PSYD

  • Health Service Psychologist
  • Greeley, CO
National Provider Identifier
1003874611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
1123 Issued in CO
Practice address
1610 29TH Avenue PL
Suite 200
Greeley, CO 80634-6813
Phone
(970) 352-8311
NPI assigned
May 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 1123 CO Primary

Addresses

Primary practice location

1610 29TH Avenue PL
Suite 200
Greeley, CO 80634-6813

Mailing address

1610 29TH Avenue PL
Suite 200
Greeley, CO 80634-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000056 CO Practitioner - Clinical Psychologist 0648286120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Psychology Associates, PCGroup PAC ID 1759397235, 2 clinicians

Practice addresses (Care Compare)

1610 29TH Ave PL
Suite 200
Greeley, CO 80634-6800
Phone (970) 352-8311

1610 29TH Ave Place
Suite 200
Greeley, CO 80634-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1123COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Associates PC CurrentSince Jan 1, 2006 Accepting new patients

Locations

1610 29th Avenue Pl
Ste 200
Greeley, CO 80634
Phone (970) 352-8311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003874611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 29TH AVENUE PL",
            "address_2": "SUITE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 29TH AVENUE PL",
            "address_2": "SUITE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346813",
            "telephone_number": "970-352-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CO",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.