Bruso Medical Group, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BRUSO MEDICAL GROUP, INC.

Practice address

990 Sonoma Ave Ste 3
Santa Rosa, CA 95404-4813

Phone

(707) 225-3535

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Rose Bruso, DONPI 1710145719

Title

Owner/President

Phone

(707) 791-5835

Specialties & licenses 1

Addresses

Other names 1

• North Coast Physical Medicine Group, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Rose Bruso, DO

  • Physical Medicine & Rehabilitation Physician
  • Santa Rosa, CA
  • NPI 1710145719
  Medicare reassignment Care Compare group NPD Authorized official
• Mette Hansen, MD

  • Physical Medicine & Rehabilitation Physician
  • St George, UT
  • NPI 1063445682

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1619776259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE STE 3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-225-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE STE 3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-225-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "BRUSO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-791-5835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Coast Physical Medicine Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Zane Brunner, PHD
• Tara Colleen Brunner
• Amber Marie Bruno
• Darin Dee Brunson, MD
• Lindsay Marie Brunson, IBCLC
• Jessica Rose Bruso, DO
• Theresa Carmen Bruton
• Bryan M. Pereira, M.D., P.C.
• Josipa Bubalo, MD
• Alyssa Buccat

• Physical Medicine & Rehabilitation Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.