Individual provider Active NPI

Jason Bruno, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1447652581
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008274 Issued in CO
Practice address
1405 E Evans Ave
Denver, CO 80210-4544
Phone
(720) 449-8050
NPI assigned
Sep 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1118476
Physician Assistant 363A00000X PA.0008274 CO Primary

Addresses

Primary practice location

1405 E Evans Ave
Denver, CO 80210-4544

Mailing address

2749 Walnut St Apt 328
Denver, CO 80205-2034
Phone (210) 288-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240422000314 CO Practitioner - Physician Assistant 4284073479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

11339 S Pikes Peak Dr
Parker, CO 80138-7333
Phone (720) 588-4000

11551 W Ken Caryl Ave
Littleton, CO 80127-3873
Phone (720) 449-8055

1405 E Evans Ave
Denver, CO 80210-4544
Phone (720) 449-8050

17575 Green Valley Ranch Blvd
Denver, CO 80249-7988
Phone (303) 583-4490

17805 Cottonwood Dr
Unit 101
Parker, CO 80134-3952
Phone (303) 583-4730

3001 Havana St
Denver, CO 80238-4099
Phone (720) 458-6825

5620 S Parker Rd
Aurora, CO 80015-1110
Phone (720) 446-5890

6080 W 92ND Ave
Suite 1000
Westminster, CO 80031-2935
Phone (720) 479-5780

7120 E County Line Rd
Highlands Ranch, CO 80126-3926
Phone (720) 446-5891

7600 W Quincy Ave
Littleton, CO 80123-2403
Phone (720) 449-8062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1447652581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 WALNUT ST APT 328",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052034",
            "telephone_number": "210-288-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104544",
            "telephone_number": "720-449-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1118476",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.