Mark Anthony Bruno, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

816301 Issued in NV

Practice address

Highway 12 & 7
Fort Defiance, AZ 86504

Phone

(928) 729-8000

NPI assigned

Nov 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1104536325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6657 AUTUMN BREEZE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485321",
            "telephone_number": "505-550-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 12 & 7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "MARK ANTHONY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NV",
            "license": "816301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Brown Trudel, MD
• Cleveland Brown IV
• Jason Andrew Brown, MD
• Kimberly Rene Brown
• Wyatt Brown, PA-C
• Loretta Ruth Brutz, BA MED MS
• Samantha Jewel Bryant, RT
• Russell Buford, LP
• Madeline Bundy, MPH, CNM, WHNP-BC
• Craig Allen Burmeier, RN

• Emergency Registered Nurse in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Emergency Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.