Individual provider Active NPI

Holly Beth Bruno, FNP-C

  • Nurse Practitioner
  • Weatherford, TX
National Provider Identifier
1407533623
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1110273 Issued in TX
Practice address
1517 Texas Drive
Weatherford, TX 76086
Phone
(817) 458-3300
Fax
(817) 458-3370
NPI assigned
Jun 29, 2023
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1110273 TX Primary

Addresses

Primary practice location

1517 Texas Drive
Weatherford, TX 76086

Mailing address

804 Santa Fe Dr Ste 100B
Weatherford, TX 76086-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230811000154 TX Practitioner - Nurse Practitioner 5193187946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Parker County Hospital DistrictGroup PAC ID 0840269163, 10 clinicians

Practice addresses (Care Compare)

1517 Texas Dr
Weatherford, TX 76086-6327
Phone (817) 458-3342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parker County Hospital District CurrentSince Mar 27, 2024 Accepting new patients
RDM Home Medical, LLC CurrentSince Jun 30, 2023 Accepting new patients
Parker County Hospital District CurrentSince Mar 27, 2024 Accepting new patients
Beyondfaith Hospice of Garland, LLC PastSince Jul 2, 2023 Accepting new patients
Parker County Hospital District Past Accepting new patients

Locations

602 Oak St
Graham, TX 76450
Phone (940) 521-9915

1517 Texas Dr
Weatherford, TX 76086
Phone (817) 458-3300

Interoperability endpoints

  • Direct secure messaging: holly.bruno.1@9877.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9877/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1407533623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SANTA FE DR STE 100B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TEXAS DRIVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-458-3300",
            "fax_number": "817-458-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1110273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.