Ann S Bruner-Welch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13650 Issued in CA

Practice address

401 Bicentennial Way # 120
Santa Rosa, CA 95403-2149

Phone

(707) 571-3079

Fax

(707) 571-4559

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235203274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954020134",
            "telephone_number": "707-571-3079",
            "fax_number": "707-571-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY # 120",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-571-3079",
            "fax_number": "707-571-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER-WELCH",
        "first_name": "ANN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia K. Bruens, MD
• Carol Ann Brugger
• Dona Pierantoni Brumbley, RT (R) (CT)
• Beatrice Arlene Brumley
• Ashlan Brunello
• Anna Brunn, NURSE PRACTITIONER
• Ryan Brunn
• Damien Michael Brunner, P.T.
• Leslie Brunner, OT
• Pamela Zane Brunner, PHD

• Physician Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.