Individual provider Active NPI

Michelle Bruno

  • Physician Assistant
  • Towson, MD
National Provider Identifier
1366165136
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
515 Fairmout Ave
Suite 220
Towson, MD 21286
Phone
(410) 494-6701
Fax
(410) 584-1878
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

515 Fairmout Ave
Suite 220
Towson, MD 21286

Mailing address

515 Fairmount Ave Ste 220
Towson, MD 21286-5466
Phone (410) 494-6701

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL michelle.bruno@umaryland.edu University of Maryland Baltimore

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016001226 MD Practitioner - Physician Assistant 5698120327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Maryland School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Pikesville, MD 21208-7108
Phone (443) 471-0460

515 Fairmount Ave
Towson, MD 21286-5466
Phone (410) 296-5300

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
80.72
Promoting interoperability
79
Improvement activities
40
Cost
76.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA CurrentSince Sep 1, 2023 Accepting new patients

Locations

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208
Phone (443) 471-0460

1838 Greene Tree Rd
Ste 225
Pikesville, MD 21208
Phone (410) 653-0200

Interoperability endpoints

  • Direct secure messaging: michelle.bruno.p2@direct.clinicalassociates.nextgenshare.com

Organizations & group practices 2

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1366165136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 220",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-6701",
            "fax_number": "410-584-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUT AVE",
            "address_2": "SUITE 220",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-494-6701",
            "fax_number": "410-584-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michelle.bruno@umaryland.edu",
            "affiliation": "Y",
            "affiliationName": "University of Maryland Baltimore",
            "address_1": "520 W Fayette St Ste 300",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212011756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.