Individual provider Active NPI

Matthew James Bruno, PA C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1194861849
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05067 Issued in TX
Practice address
780 N Watters Rd Ste 180
Allen, TX 75013-5104
Phone
(972) 390-9002
Fax
(972) 767-4976
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05067 TX Primary

Addresses

Primary practice location

780 N Watters Rd Ste 180
Allen, TX 75013-5104

Mailing address

1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002

Other identifiers 1

IdentifierTypeStateIssuer
P00658033OtherTXRAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070608000085 TX Practitioner - Physician Assistant 0840398236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in Shreveport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Barrows MD PAGroup PAC ID 6305894171, 23 clinicians

Practice addresses (Care Compare)

1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002

780 N Watters Rd
Suite 180
Allen, TX 75013-5085
Phone (972) 390-9002

Merit-based Incentive Payment System (MIPS)

Final score
76.77 of 100Reported as group
Quality
48.81
Promoting interoperability
100
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1194861849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N STONEBRIDGE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717437",
            "telephone_number": "972-390-9002",
            "fax_number": "214-491-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N WATTERS RD STE 180",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135104",
            "telephone_number": "972-390-9002",
            "fax_number": "972-767-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00658033",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.