Bruncuso Properties Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRUNCUSO PROPERTIES INC

Practice address

23745 225TH Way SE Ste 201
Maple Valley, WA 98038-5294

Phone

(425) 390-9425

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Scott Albert Brunner

Title

President

Phone

(425) 390-9425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1144880683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 THOMPSON ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901314",
            "telephone_number": "425-390-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23745 225TH WAY SE STE 201",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385294",
            "telephone_number": "425-390-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNCUSO PROPERTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-390-9425"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Bredl
• Abbey Breese
• Anne-Elizabeth Briggs, RN
• Jacob Brown, D.C.
• Rachel Ann Brown
• Alyssa Janine Bruner
• Laurel Bunker, NIC MASTER
• Heather Michelle Carroll-Fry, LMP
• Lindsay Siobhan Carvalho
• Laura Casper M.a., Bcba, Lba, M.A. BCBA, LBA

• All providers in Maple Valley, WA
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.