Active NPI
Paul J Bruner, D.O.
- Family Medicine Physician
- Sandusky, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34004623
- Practice address
- 2500 W Strub Rd
Suite 230
Sandusky, OH 44870-5390 - Phone
- (419) 625-1200
- Fax
- (419) 625-0624
- NPI assigned
- May 23, 2006
- Last updated
- May 3, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34004623 | OH | Primary |
Addresses
Primary practice location
2500 W Strub Rd
Suite 230
Sandusky, OH 44870-5390
Mailing address
PO Box 378
Cincinnati, OH 45242-0378
Phone (419) 609-1112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107575 | Medicaid | OH | |
| 080173207 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Ohio Medical Specialists,LLC
Practice addresses (Care Compare)
1912 Hayes Ave
Sandusky, OH 44870-4736
2500 W Strub Rd
Suite 120
Sandusky, OH 44870-5390
Phone (419) 502-5932
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4623 | OH | MD | Clinical Psychologist |
| 34004623 | OH | MD | Family Medicine Physician |
Practice roles
Locations (25 of 27)
20 Center St
Berlin Heights, OH 44814
Phone (419) 499-3000
207 Lowell St
Rm 212
Castalia, OH 44824
209 Lowell St
Ste 213
Castalia, OH 44824
3851 US Hwy 20
Collins, OH 44826
1 University Dr
Rm 112B
Huron, OH 44839
710 Cleveland Rd W
Huron, OH 44839
Phone (419) 433-1234
140 S Main St
Milan, OH 44846
Phone (419) 499-2471
2603 State Route 113 E
Milan, OH 44846
Phone (419) 499-3000
101 West St
Rm 340
Monroeville, OH 44847
265 Benedict Ave
Norwalk, OH 44857
Phone (419) 219-9776
1221 Hayes Ave
Ste J
Sandusky, OH 44870
Phone (419) 625-1200
125 E Adams St
Sandusky, OH 44870
149 E Water St
Sandusky, OH 44870
Phone (419) 625-0925
1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460
1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-2832
1912 Hayes Ave
Ste E
Sandusky, OH 44870
2020 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-1236
2130 Hayes Ave
Sandusky, OH 44870
Phone (419) 984-1068
2130 Hayes Ave
#A
Sandusky, OH 44870
2130 Hayes Ave
Ste A
Sandusky, OH 44870
2314 Hancock St
Sandusky, OH 44870
Phone (419) 984-1210
2500 W Strub Rd
Ste 120
Sandusky, OH 44870
Phone (419) 502-5932
2500 W Strub Rd
Ste 230
Sandusky, OH 44870
Phone (419) 625-1200
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
620 E Water St
Sandusky, OH 44870
Phone (419) 626-2560
Interoperability endpoints
- pbruner20021@nomshealthcare.direct-ci.com
Organizations & group practices 20
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.
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1831343805
Family Medicine
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1225085855
Family Medicine
-
dba NOMS Urgent Care
- Urgent Care Clinic/Center
- Sandusky, OH
- NPI 1609247949
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huron, OH
- NPI 1902662349
-
dba NOMS Healthcare
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1033937214
-
- Federally Qualified Health Center (FQHC)
- Milan, OH
- NPI 1124787122
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1164060372
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1184441081
-
- Federally Qualified Health Center (FQHC)
- Huron, OH
- NPI 1205692753
-
dba Family Health Services
- Federally Qualified Health Center (FQHC)
- Berlin Heights, OH
- NPI 1235898321
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1265959597
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firelands Regional Medical Center Home Health Services
- Home Health Agency
- Sandusky, OH
- NPI 1134117849
-
dba Firelands Counseling & Recovery Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tiffin, OH
- NPI 1154372381
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1285392936
-
dba Firelands Counseling & Recovery Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, OH
- NPI 1629028600
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1801884655
-
dba Firelands Counseling & Recovery Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, OH
- NPI 1992756118
Hospital
-
dba Magruder Hospital
- Critical Access Hospital
- Port Clinton, OH
- NPI 1922079532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1184679995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452420378",
"telephone_number": "419-609-1112",
"fax_number": "419-609-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W STRUB RD",
"address_2": "SUITE 230",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705390",
"telephone_number": "419-625-1200",
"fax_number": "419-625-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34004623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0107575",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080173207",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.