Jonathan Nolen Bruner, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS13458 Issued in FL

Practice address

905 W Platt St
Tampa, FL 33606-2113

Phone

(813) 485-5780

NPI assigned

Jun 4, 2007

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Osteopathic Medicine Tampa, PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tampa, FL
  • NPI 1427927094
  NPD Authorized official
• Mobility Medicine, PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tampa, FL
  • NPI 1710593769
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1235331901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062113",
            "telephone_number": "813-485-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062113",
            "telephone_number": "813-485-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "JONATHAN",
        "middle_name": "NOLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101016778",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shondae Acoo Brumsey
• Amy Leigh Brun, MPT
• Francisco A. Brun, M.D.
• Laurie T Brunache
• Richard Raymond Brunelle, M.D.
• Laxmi Bruner, RD, CDE
• Michelle K Bruner, DO
• Ana Karen Brunet, MS
• Jamie Lynne Brunet, D.C
• Ryan James Brunetti, MD

• Neuromusculoskeletal Medicine & OMM Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.