Active NPI
Brandon Bruce, AUD
- Audiologist
- Detroit, MI
National Provider Identifier
1144619206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006368
- Practice address
- 4646 John R Street
John D. Dingell VA Medical Center
Detroit, MI 48201 - Phone
- (313) 576-1000
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006368 | PA | Primary |
Addresses
Primary practice location
4646 John R Street
John D. Dingell VA Medical Center
Detroit, MI 48201
Mailing address
4012 W 13 Mile Rd
Apt 5
Royal Oak, MI 48073-6625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006368 | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1144619206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 W 13 MILE RD",
"address_2": "APT 5",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 JOHN R STREET",
"address_2": "JOHN D. DINGELL VA MEDICAL CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-576-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.