Clinton Bruning, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1292490 Issued in TX

Practice address

2535 Ira E Woods Ave
Grapevine, TX 76051

Phone

(817) 481-2121

NPI assigned

Jul 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All in All Neuro Rehab and Wellness LLCGroup PAC ID 5799197232, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clinton.bruning.1@20617.direct.athenahealth.com

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

• All in All Neuro Rehab and Wellness LLC

  • Physical Therapy Clinic/Center
  • North Richland Hills, TX
  • NPI 1942812821

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sportherapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1386132132

  Physical Therapist

  Medicare reassignment NPD
• Sportherapy Southwest, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
  • NPI 1801812698

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1669996252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-481-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4108 Boat Club Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761352604",
            "country_code": "US",
            "telephone_number": "817-238-9295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4108 Boat Club Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761352604",
            "country_code": "US",
            "telephone_number": "817-238-9295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4501 Heritage Trace Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448941",
            "country_code": "US",
            "telephone_number": "817-481-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNING",
        "first_name": "CLINTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1292490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192079501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Brown, MD
• Melissa Brown, RD LD
• Melrose E. Brown
• Nedra Brown
• Bryan Christophe Bruner, MD
• Michael William Bryan, MD
• Jenna Buchanan, AGACNP-BC
• Barbara Ann Buckley, NP
• Sarah Burey, LPC
• Burgess and Mason DDS

• Physical Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.