Ebony Brunson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

964 N 35TH St
Milwaukee, WI 53208-3352

Phone

(414) 933-8810

NPI assigned

Nov 17, 2021

Last updated

May 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krayola Families PNC Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krayola Families PNC

  • Case Manager/Care Coordinator
  • Milwaukee, WI
  • NPI 1831881770
  NPD Authorized official
• The Set Adult Family Home LLC

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1407539240
  NPD Authorized official

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1538826268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083352",
            "telephone_number": "414-933-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083352",
            "telephone_number": "414-933-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "966 N 35th St # 35th",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083352",
            "country_code": "US",
            "telephone_number": "414-933-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Milwaukee",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Milwaukee",
            "address_1": "966 N 35th St # 35th",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532083352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRAYOLA",
            "last_name": "FAMILIES PNC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristine D Bruno, MD
• Stephanie Bruno, DO
• Kaleigh Marie Brunow
• Lindsay Rose Bruns-Caruso, PA-C
• Zachary Bruns, M.S.
• Daniel Brusch
• Helen Brusky
• John E Brusky, M.D.
• Laura Torrico Brusky, M.D.
• Mikayla M Bruss, APNP

• Case Manager/Care Coordinator in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; 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.