Jean Brudent

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

171240555 Issued in FL

Practice address

3111 Edgerock Dr
El Paso, TX 79935-1524

Phone

(915) 540-0805

NPI assigned

May 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1457099772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WOODLAND AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799222040",
            "telephone_number": "915-540-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 EDGEROCK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351524",
            "telephone_number": "915-540-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDENT",
        "first_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "FL",
            "license": "171240555",
            "primary": false
        },
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "FL",
            "license": "171240555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING ADMINISTRATOR",
            "identifier": "171240555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce a. Scudday, DPM, P.a.
• Bruce a. Scudday, DPM, PA
• Bruce Gopin DDS Ms PLLC
• Alexis Bruce
• Luann Elizabeth Bruce, FNP-C
• Cynthia Silvas Brun, LCSW
• Felice Luigi Bruno, M.D.
• Gianna Lea Brunone, OTR
• Haley Jo Bruns, DPT
• Sandra A Bruss Hand, L.P.C

• Perfusionist in El Paso, TX
• Providers in El Paso, TX by specialty
• Perfusionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.