Individual provider Active NPI

Betty Jean Brune, PH.D.

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1437228467
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
25235 Issued in TX
Practice address
94 Briggs St
Suite 700
San Antonio, TX 78224-1221
Phone
(210) 924-3556
Fax
(210) 924-3557
NPI assigned
Nov 6, 2006
Last updated
Jun 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 25235 TX Primary
School Psychologist 103TS0200X 6627 TX

Addresses

Primary practice location

94 Briggs St
Suite 700
San Antonio, TX 78224-1221

Mailing address

94 Briggs St
Suite 700
San Antonio, TX 78224-1221
Phone (210) 924-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6627TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Area Council of Governments Psychologist Past Accepting new patients
Alamo Area Council of Governments Past Accepting new patients

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, 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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1437228467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST",
            "address_2": "SUITE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241221",
            "telephone_number": "210-924-3556",
            "fax_number": "210-924-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST",
            "address_2": "SUITE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241221",
            "telephone_number": "210-924-3556",
            "fax_number": "210-924-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNE",
        "first_name": "BETTY",
        "middle_name": "JEAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "25235",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "6627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.