Henriette Birgitte Bruun, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13638 Issued in CA

Practice address

1 Shields Ave
Cowell Student Health Center
Davis, CA 95616-5270

Phone

(530) 752-2318

Fax

(530) 752-2306

NPI assigned

Dec 19, 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

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1497939953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FLICKER AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIELDS AVE",
            "address_2": "COWELL STUDENT HEALTH CENTER",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165270",
            "telephone_number": "530-752-2318",
            "fax_number": "530-752-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUUN",
        "first_name": "HENRIETTE",
        "middle_name": "BIRGITTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale P Brown Jr., LCSW
• Mika Brown
• Ronald L Brown, M.D.
• Susan Rachel Brown, PH.D.
• Monica Margaret Bruce, CNM, RN
• Kelsey Buchanan
• James Buck, RPH
• Tu-Minh Bui
• Maria Helena Buitrago Cohoon
• Randi Bullard, RN

• Physical Therapist in Davis, CA
• Providers in Davis, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.