Dawn L Bruner, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

G42631 Issued in CA

Practice address

13132 Newport Ave
100
Tustin, CA 92780-3429

Phone

(714) 565-7960

Fax

(714) 565-7982

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1124097431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 NEWPORT AVE",
            "address_2": "100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803429",
            "telephone_number": "714-565-7960",
            "fax_number": "714-565-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 NEWPORT AVE",
            "address_2": "100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803429",
            "telephone_number": "714-565-7960",
            "fax_number": "714-565-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "DAWN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42631",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G42631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne M. Brown
• Linda Jeane Brown, MSW
• Mark Winston Brown, M.D.
• Rannia Brown, PSYD
• Susan Brown, O.D.
• Lietta Diana Brutsche, CADC II
• Cheridan Bryant
• Bryenton Family Chiropractic PC
• Matthew Thane Bryenton, D.C.
• Lennox Travis Buchanan, M.S., LMFT, LAADC

• Pediatric Adolescent Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.