NPIMap

Individual provider Active NPI

Eddy Severe Bruno, M.D.

  • Psychiatry Physician
  • Lima, OH
National Provider Identifier
1427080530
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35082630 Issued in OH
Practice address
658 W Market St Ste 202
Lima, OH 45801-5610
Phone
(419) 225-8808
Fax
(419) 222-7220
NPI assigned
Jul 7, 2006
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35082630 OH Primary

Addresses

Primary practice location

658 W Market St Ste 202
Lima, OH 45801-5610

Mailing address

PO Box 217
Lima, OH 45802-0217
Phone (419) 225-8808

Other identifiers 1

IdentifierTypeStateIssuer
2582709MedicaidOH

Other names 1

  • Dr. Eddy Severe Brunot Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000948 OH Practitioner - Psychiatry 0749264786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1158 Westwood Dr
Van Wert, OH 45891-2449
Phone (419) 238-3434

658 W Market St
Suite 202
Lima, OH 45801-5610
Phone (419) 225-8808

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-St Ritas Medical Center LLC Single Specialty Past Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients
Paulding Counseling Center Single Specialty Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ebruno53951@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1427080530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020217",
            "telephone_number": "419-225-8808",
            "fax_number": "419-222-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST STE 202",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015610",
            "telephone_number": "419-225-8808",
            "fax_number": "419-222-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "EDDY",
        "middle_name": "SEVERE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35082630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2582709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDY",
            "last_name": "BRUNOT",
            "middle_name": "SEVERE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.