Deanne Bruner, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND2967 Issued in FL

Practice address

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone

(850) 431-5742

NPI assigned

Jan 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1467925412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-5742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Metropolitan Blvd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323122536",
            "country_code": "US",
            "telephone_number": "850-216-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Capital Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084513",
            "country_code": "US",
            "telephone_number": "850-431-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "DEANNE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thea Brubaker
• William R Brueckheimer Jr., DDS
• Robert S Brumberg, DO
• Kenneth V Brummel-Smith, MD
• Jaylon Miguel Bruner-Vann
• Grace Elizabeth Brunner I
• Catherine Brunson
• Stephanie Brunson, LMHC
• Elizabeth Sabina Bryan, DNP, FNP-BC
• Steven Clark Bryan, D.M.D.

• Registered Dietitian in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.