Individual provider Active NPI

Paul J Bruner, D.O.

  • Family Medicine Physician
  • Sandusky, OH
National Provider Identifier
1184679995
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004623 Issued in OH
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0107575MedicaidOH
080173207OtherOHMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000040 OH Practitioner - Family Practice 2365346723 Reassigns benefits to 3 organizations

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,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

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

LicenseStateTypeSpecialty
4623OHMDClinical Psychologist
34004623OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince May 30, 2001 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 7, 2015 Accepting new patients
Family Health Services of Erie County Family Medicine CurrentSince Dec 1, 2017 Accepting new patients
Family Health Services of Erie County CurrentSince Dec 1, 2017 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince May 30, 2001 Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.