Active NPI
Bruno Brown Plastic Surgery, LLC
- Plastic Surgery Physician
- Chevy Chase, MD
National Provider Identifier
1104834597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- BRUNO BROWN PLASTIC SURGERY, LLC
- Practice address
- 5454 Wisconsin Ave
Suite 1210
Chevy Chase, MD 20815-6901 - Phone
- (301) 215-5955
- Fax
- (301) 215-5944
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Bruno
- Title
- MD
- Phone
- (301) 215-5955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
Suite 1210
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
Suite 1210
Chevy Chase, MD 20815-6901
Phone (301) 215-5955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2169652 | Bruno/Brown Plastic Surgery | Certificate of waiver | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Tysons Corner, VA
- NPI 1841123460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519344000000",
"number": "1104834597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 1210",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-215-5955",
"fax_number": "301-215-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 1210",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-215-5955",
"fax_number": "301-215-5944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNO BROWN PLASTIC SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2018-02-23",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "301-215-5955"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.