James E Bruns OD a Professional

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

CA5247 Issued in CA

Legal business name

JAMES E BRUNS OD A PROFESSIONAL

Practice address

6180 State Farm Dr
Rohnert Park, CA 94928-2135

Phone

(707) 584-7294

Fax

(707) 584-4728

NPI assigned

Mar 23, 2012

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie C Bordi

Title

Office Manager

Phone

(707) 584-7294

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mina Chen, OD

  • Optometrist
  • Petaluma, CA
  • NPI 1982263265
  Medicare reassignment NPD
• Victoria Chu, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1477020220

  CA

  Medicare reassignment NPD
• James Edward Bruns, O.D.

  • Optometrist
  • Rohnert Park, CA
  • NPI 1306926787
  Medicare reassignment
• Marianna Kong, O.D.

  • Optometrist
  • Rohnert Park, CA
  • NPI 1477924173
  NPD

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1306112362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 STATE FARM DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282135",
            "telephone_number": "707-584-7294",
            "fax_number": "707-584-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 STATE FARM DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282135",
            "telephone_number": "707-584-7294",
            "fax_number": "707-584-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E BRUNS OD A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "BORDI",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-584-7294"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "CA5247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0052470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia M Innamorato
• Momoko Ito
• J Sahouria, DDS, Inc (Sonoma County Family Dental)
• Claire Alise Jacobs
• Kimberly Jacobson
• Jason Kenji Reyda, DDS, Professional Corporation
• Sandra Lynn Jay, NP
• Jewish Community Free Clinic
• Sylvia Jimenez-Martin, M.A., P.P.S.
• JJ Sahouria, DDS, Inc (SoCo Dental Specialty Group)

• Point of Service in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.