Individual provider Active NPI

Bruna Polonia, OMD

  • Acupuncturist
  • Henderson, NV
National Provider Identifier
1043899685
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2041 Issued in NV
Practice address
1481 W Warm Springs Rd Ste 129
Henderson, NV 89014-7636
Phone
(702) 475-0870
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NV
Acupuncturist 171100000X 2041 NV Primary

Addresses

Primary practice location

1481 W Warm Springs Rd Ste 129
Henderson, NV 89014-7636

Mailing address

1704 Windchime Dr
Las Vegas, NV 89106-1342
Phone (920) 246-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2041NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
True Health Acupuncture LLC Acupuncturist PastSince Apr 6, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1043899685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WINDCHIME DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061342",
            "telephone_number": "920-246-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W WARM SPRINGS RD STE 129",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147636",
            "telephone_number": "702-475-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONIA",
        "first_name": "BRUNA",
        "name_prefix": "Dr.",
        "credential": "OMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.