Individual provider Active NPI

John D Bruns, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1083642805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35081560 Issued in OH
Practice address
2475 W Galbraith Rd
Suite a
Cincinnati, OH 45239-4368
Phone
(513) 522-0300
Fax
(513) 522-6147
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Pediatrics Physician 208000000X 35081560 OH Primary

Addresses

Primary practice location

2475 W Galbraith Rd
Suite a
Cincinnati, OH 45239-4368

Mailing address

2475 W Galbraith Rd
Suite a
Cincinnati, OH 45239-4368
Phone (513) 522-0300

Other identifiers 1

IdentifierTypeStateIssuer
2402966MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022000710 OH Practitioner - Pediatric MedicinePractitioner - Internal Medicine 7416140421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jul 1, 2016 Accepting new patients
Trihealth G LLC Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Trihealth Q LLC Past Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

2475 W Galbraith Rd
Ste A
Cincinnati, OH 45239
Phone (513) 522-0300

2753 Erie Ave
Cincinnati, OH 45208
Phone (513) 246-8000

3035 Hamilton Mason Rd
Ste 200
Fairfield Township, OH 45011
Phone (513) 246-8037

Interoperability endpoints

  • Direct secure messaging: jbruns33906@direct.trihealth.com

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083642805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W GALBRAITH RD",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452394368",
            "telephone_number": "513-522-0300",
            "fax_number": "513-522-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W GALBRAITH RD",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452394368",
            "telephone_number": "513-522-0300",
            "fax_number": "513-522-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35081560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.