Robert J Brugnoli, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3156 Issued in FL

Practice address

2770 Indian River Blvd Ste 303
Vero Beach, FL 32960-4299

Phone

(772) 226-5388

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Robert J. Brugnoli, PH.D.

  • Clinical Psychologist
  • Vero Beach, FL
  • NPI 1417421991
  NPD (past) Authorized official
• Kenneth L Director MD PA

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1114147261
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1689681561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 FAIRWAY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605005",
            "telephone_number": "772-532-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD STE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604299",
            "telephone_number": "772-226-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGNOLI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3156",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Brown, L.P.N.
• Sara Ruth Brown
• Shannon Marie Brown, APRN
• Tamra Leann Brown, D.M.D.
• Lindsey Gaye Bruce, M.D.
• John Brunner
• Bryan M Wells DC PLLC
• Bryan Wells, DC LLC
• Clara G Bryant, CNA
• Oliver Zico Bsirini, DMD

• Clinical Psychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.

Verify at the official NPI Registry.