Bryan E Bruns MD a Medical Corp

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G29642 Issued in CA

Legal business name

BRYAN E BRUNS MD A MEDICAL CORP

Practice address

9255 Towne Centre Dr
Suite 370
San Diego, CA 92121-3033

Phone

(858) 535-0091

NPI assigned

Jul 12, 2006

Last updated

Jan 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Edward Bruns, M.D.NPI 1437184975

Title

President

Phone

(858) 535-0091

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Edward Bruns, M.D.

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1437184975
  Authorized official Same address or phone
• Lawrence Todd Woodburn, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1336215102
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1427083963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511278",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517833",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "SUITE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213033",
            "telephone_number": "858-535-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN E BRUNS MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-535-0091",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G29642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G296420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Brush
• Theresa Brush, PHARMD
• Laurel Kay Brust, LCSW
• Johnnisha Brutus
• Bryan Dieffenbach, Inc.
• Bryan L Abramowitz, MD Inc.
• Mary Beth Bryan, PSYD
• Nathan Stephen Bryan, DO
• Robert Joseph Bryan Jr.
• Taylor Marie Bryan

• Child & Adolescent Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.