Jerome Mark Bruno

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1171824 Issued in LA

Practice address

216 8TH St
Lafayette, LA 70501-7163

Phone

(985) 397-0290

Fax

(225) 931-9664

NPI assigned

Mar 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1508515560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 POTIER RD LOT B",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206237",
            "telephone_number": "337-520-1813",
            "fax_number": "225-831-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 8TH ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017163",
            "telephone_number": "985-397-0290",
            "fax_number": "225-931-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JEROME",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "1171824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171824",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicaladvantagecare@att.net",
            "affiliation": "N",
            "endpointDescription": "employers email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "216 8th St",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705017163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce Schneider DDS Inc
• Andre L. Bruce, APRN-WHNP
• Toni Blanchard Bruce, MCD
• Ariel Jarnae Bruno
• Chasity Bruno
• Kathryn Bruno, LCSW
• Lyndsey Nicole Bruno
• Wolona Danielle Bruno
• Alyssa Underwood Brunson, FNP
• Bryan a. Lebean,Sr,MD,Apmc

• Personal Care Attendant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.