Active NPI
Terry L. Bruno, F.N.P.
- Nurse Practitioner
- Fort Leonard Wood, MO
National Provider Identifier
1013954049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 130676
- Practice address
- 4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098 - Phone
- (573) 596-0417
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 130676 | MO | Primary |
Addresses
Primary practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Mailing address
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0417
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26D0859759 | Other | MO | CLIA |
| 597943901 | Other | MO | RH MEDICAID-NURSE PRACTIT |
| 26-8630 | Other | MO | RH MEDICARE- NURSE PRACTITIONER |
| 26-8603 | Other | MO | RH MEDICARE-NURSE PRACTIT |
| 1447412770 | Other | MO | RH MEDICAID-NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130676 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients | |
| Lester E. Cox Medical Centers | Past | Accepting new patients |
Locations
500 Main St
Cabool, MO 65689
Phone (417) 962-3015
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Cabool, MO
- NPI 1396785135
-
- Clinic/Center
- Houston, MO
- NPI 1497593719
-
- Family Medicine Physician
- Cabool, MO
- NPI 1447390505
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Rural Health Clinic/Center
- Cabool, MO
- NPI 1962529644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1013954049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "TERRY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "130676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "26D0859759",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RH MEDICAID-NURSE PRACTIT",
"identifier": "597943901",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RH MEDICARE- NURSE PRACTITIONER",
"identifier": "26-8630",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RH MEDICARE-NURSE PRACTIT",
"identifier": "26-8603",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RH MEDICAID-NURSE PRACTITIONER",
"identifier": "1447412770",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.