Penelope Bruning

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Practice address

526 E 5TH St
Benson, AZ 85602-6609

Phone

(520) 586-7785

NPI assigned

Jun 19, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1396940284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 E 5TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026609",
            "telephone_number": "520-586-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 E 5TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026609",
            "telephone_number": "520-586-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNING",
        "first_name": "PENELOPE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benson Unified School District
• Susan May Boge, OTR
• Gouni Lakoso Bouraima, PMHNP-BC
• Marymar Boyer, LMT
• Amanda Marie Branda, PHARMD
• Michael J Bruwer, MD, PSYCH
• Robert Lance Bryant, PHARMD
• Dianna Burchard
• Yassar E Canchola, BA, LISAC
• Sarah Lynne Cargile, FNP

• Child Mental Illness Respite Care in Benson, AZ
• Providers in Benson, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.