NPIMap

Individual provider Active NPI

Andrew Bruner, M.D.

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1346506904
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2018-0003 Issued in NM
Practice address
MSC 10-5550 1
University of New Mexico
Albuquerque, NM 87131
Phone
(505) 272-4661
Fax
(505) 272-4628
NPI assigned
Apr 9, 2012
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD2018-0003 NM Primary

Addresses

Primary practice location

MSC 10-5550 1
University of New Mexico
Albuquerque, NM 87131

Mailing address

MSC 10-5550 1
University of New Mexico
Albuquerque, NM 87131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180321000472 NM Practitioner - Diagnostic Radiology 0840552311 Reassigns benefits to 17 organizations
I20200331001534 TX Practitioner - Diagnostic Radiology 0840552311 Reassigns benefits to 1 organization
I20211223000011 AZ Practitioner - Diagnostic Radiology 0840552311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New Mexico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians
North Star CN LPGroup PAC ID 0547589376, 20 clinicians
North Star GV LPGroup PAC ID 0648539023, 21 clinicians
North Star FM LPGroup PAC ID 1153591763, 22 clinicians
North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
North Star MRI LPGroup PAC ID 5890762330, 54 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
North Star FP LPGroup PAC ID 6800168576, 49 clinicians
North Star NPT LPGroup PAC ID 8426468265, 40 clinicians
North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

819 Canterbury Arc
Las Cruces, NM 88005-3715
Phone (972) 492-3846

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2018-0003NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star CN, LP CurrentSince Jul 1, 2024 Accepting new patients
North Star MRI LP CurrentSince Sep 30, 2024 Accepting new patients
North Star FP, LP CurrentSince Jul 1, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 22, 2021 Accepting new patients
North Star FM, LP CurrentSince Aug 8, 2024 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 19, 2024 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Oct 18, 2025 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jun 9, 2025 Accepting new patients
North Star NPT LP CurrentSince Oct 19, 2024 Accepting new patients
North Star MCD, LLC CurrentSince Sep 24, 2024 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Oct 15, 2025 Accepting new patients
Sierra Vista Hospital CurrentSince Jun 1, 2019 Accepting new patients
North Star GV, LP CurrentSince Sep 30, 2024 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Empire State Radiology P C Diagnostic Radiology PastSince Jan 15, 2021 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1625 N Campbell Ave
Tucson, AZ 85719

124 Elena St
Santa Fe, NM 87501

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

235 Forest St
Unit 686
Wausau, WI 54402

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1346506904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 10-5550 1",
            "address_2": "UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 10-5550 1",
            "address_2": "UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87131",
            "telephone_number": "505-272-4661",
            "fax_number": "505-272-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2018-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.