Individual provider Active NPI

Tino Bruno, FNP-C, TRT

  • Family Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1154800811
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017681 Issued in IL
Practice address
1020 E Ogden Ave Ste 206
Naperville, IL 60563-8610
Phone
(630) 857-3101
Fax
(630) 857-3596
NPI assigned
Aug 13, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 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 209.017681 IL Primary

Addresses

Primary practice location

1020 E Ogden Ave Ste 206
Naperville, IL 60563-8610

Mailing address

1020 E Ogden Ave Ste 206
Naperville, IL 60563-8610
Phone (630) 857-3101

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017681ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mens Health Chicago LLC PastSince Apr 21, 2024 Accepting new patients
Chicagoland Internal Medicine LLC PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1154800811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638610",
            "telephone_number": "630-857-3101",
            "fax_number": "630-857-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 206",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638610",
            "telephone_number": "630-857-3101",
            "fax_number": "630-857-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "TINO",
        "credential": "FNP-C, TRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2026-09-29",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.