Individual provider Active NPI

Carla G Bruning, PA-C

  • Physician Assistant
  • Brookfield, CT
National Provider Identifier
1457598906
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23.000523 Issued in CT
Practice address
31 Old Route 7
Brookfield, CT 06804-1711
Phone
(855) 349-2828
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 23.000523 CT
Physician Assistant 363A00000X 23.000523 CT Primary

Addresses

Primary practice location

31 Old Route 7
Brookfield, CT 06804-1711

Mailing address

31 Old Route 7
Brookfield, CT 06804-1711
Phone (855) 349-2828

Other identifiers 1

IdentifierTypeStateIssuer
908197MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050226000017 AZ Practitioner - Physician Assistant 0446203715 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000523CTMDClinical Social Worker
23.000523CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Express Care, PLLC CurrentSince May 17, 2014 Accepting new patients
Dispatchhealth-Arizona CurrentSince Mar 1, 2020 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
WRK Ventures, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Total Orthopedics,LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

4959 W Ray Rd
Ste 33
Chandler, AZ 85226
Phone (480) 214-2188

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

3302 W Thomas Rd
Ste 10
Phoenix, AZ 85017
Phone (602) 233-2900

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

940 E University Dr
Ste 101
Tempe, AZ 85288
Phone (480) 214-0622

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

2720 W Baseline Rd
Tempe, AZ 85283
Phone (602) 777-6000

2510 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 232-2072

2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

Organizations & group practices 12

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1457598906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "855-349-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "855-349-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNING",
        "first_name": "CARLA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "23.000523",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "23.000523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908197",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.