Active NPI
Matthew James Bruno, PA C
- Physician Assistant
- Allen, TX
National Provider Identifier
1194861849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05067
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00658033 | Other | TX | RAILROAD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.