Kerry Gayle Bruner, APN,FNP, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP111717 Issued in TX

Practice address

2602 Saint Michael Dr Ste 400
Texarkana, TX 75503-5224

Phone

(903) 794-0888

NPI assigned

Jan 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbruner321751@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  NPD (past)
• John M Strayhorn MD PA

  • Cardiovascular Disease Physician
  • Texarkana, TX
  • NPI 1457669335
  NPD (past)
• Medical Center Medical Group

  • Anesthesiology Physician
  • Texarkana, TX
  • NPI 1720046444
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497812192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755040301",
            "telephone_number": "903-793-0122",
            "fax_number": "903-792-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SAINT MICHAEL DR STE 400",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035224",
            "telephone_number": "903-794-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032387",
            "country_code": "US",
            "telephone_number": "903-794-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "KERRY",
        "middle_name": "GAYLE",
        "credential": "APN,FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150499758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lezley Brown
• Stephen Romen Brown, M.D.
• Toni Denise Brown
• William Randall Brown, M.D.
• Jerry Bob Browning, PA-C
• Carie Buckley
• Julie Janeen Buie, COTA
• Barry W Bullard, PSYD
• Robert G Buls, PHARMD
• Brent Stewart Bultemeier, D.C.

• Family Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.