Active NPI
Jarrett Evan Bruno, DO
- Family Medicine Physician
- Auburn, WA
National Provider Identifier
1689102485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 61070829
- Practice address
- 17500 SE 392ND St
Auburn, WA 98092-9705 - Phone
- (253) 294-8201
- Fax
- (253) 333-3612
- NPI assigned
- May 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 61070829 | WA | Primary |
Addresses
Primary practice location
17500 SE 392ND St
Auburn, WA 98092-9705
Mailing address
821 N Oakes St
Tacoma, WA 98406-7309
Phone (203) 673-4341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17500 SE 392ND St
Muckleshoot Health and Wellness Ctr
Auburn, WA 98092-9705
Phone (253) 939-6648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61070829 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muckleshoot Indian Tribe | Current | Accepting new patients |
Locations
17500 SE 392nd St
Auburn, WA 98092
Phone (253) 939-6648
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1689102485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 N OAKES ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984067309",
"telephone_number": "203-673-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 SE 392ND ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980929705",
"telephone_number": "253-294-8201",
"fax_number": "253-333-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "JARRETT",
"middle_name": "EVAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-24",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "61070829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.