Lisa Jo Bruner, ARDMS

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

191137 Issued in AZ

Practice address

2487 N Arturo Cir W
Camp Verde, AZ 86322-7955

Phone

(928) 800-1640

NPI assigned

Feb 18, 2022

Last updated

Feb 18, 2022By 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

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1588319438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 N ARTURO CIR W",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227955",
            "telephone_number": "928-800-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 N ARTURO CIR W",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227955",
            "telephone_number": "928-800-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "LISA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "191137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bernadine Bunt, PHARMD
• Martha Leticia Caballero-Monrreal
• Camp Verde Family Chiropractic & Wellness Center Inc.
• Camp Verde Family Health LLC
• Camp Verde Fire District

• Diagnostic Ultrasound Physician in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Diagnostic Ultrasound Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.