Individual provider Active NPI

Donald Frederick Bruner, APRN-FNP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1114641289
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27006 Issued in SC
Practice address
1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879
Phone
(843) 402-3093
Fax
(843) 402-1410
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27006 SC Primary

Addresses

Primary practice location

1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811000327 SC Practitioner - Nurse Practitioner 1052773819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

1481 Tobias Gadson Blvd
Suite 1
Charleston, SC 29407-4879
Phone (843) 402-3093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Roper Hospital Inc. CurrentSince Jul 17, 2023 Accepting new patients
Roper Hospital, Inc. Past Accepting new patients

Locations

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

730 Stony Landing Rd
Ste 104
Moncks Corner, SC 29461
Phone (843) 402-3093

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: dbruner1343065@direct.bsmhealth.org

Organizations & group practices 8

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1114641289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 TOBIAS GADSON BLVD STE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074879",
            "telephone_number": "843-402-3093",
            "fax_number": "843-402-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "DONALD",
        "middle_name": "FREDERICK",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.