Matthew Bruno, P.A.
Individual provider Active NPI Physician Assistant · Peru, IL
NPI 1104854066 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1104854066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085001822 (IL)
- Practice address
- 925 West St
Peru, IL 61354-2757 - Phone
- (815) 221-1384
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.91 of 100
- Quality
- 96.37
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000926 | IL | Practitioner - Physician Assistant | 4981662046 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085001822 | IL | Yes |
Addresses
Primary practice location
925 West St
Peru, IL 61354-2757
Mailing address
925 West St
Peru, IL 61354-2757
Phone (815) 221-1384
Other practice location 1
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 999-3275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00035862 | Other | IL | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbruno379182@dulyhealthandcare.direct-ci.com | Direct |
Other providers in Peru, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.