Organization Active NPI

Svend Bruun MD

  • Internal Medicine Physician
  • Fitchburg, MA
National Provider Identifier
1700845880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SVEND BRUUN MD
Practice address
1480 John Fitch Hwy
Fitchburg, MA 01420-2035
Phone
(978) 342-0044
NPI assigned
Mar 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Svend Bruun, MD
Title
Owner
Phone
(978) 342-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1480 John Fitch Hwy
Fitchburg, MA 01420-2035

Mailing address

PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411

Other identifiers 1

IdentifierTypeStateIssuer
M17824OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1480 John Fitch Hwy
Fitchburg, MA 01420
Phone (978) 342-0044

NPI Registry JSON

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

{
    "created_epoch": "1142726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700845880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030314200",
            "telephone_number": "603-673-9411",
            "fax_number": "603-673-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202035",
            "telephone_number": "978-342-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVEND BRUUN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUUN",
        "authorized_official_first_name": "SVEND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-342-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M17824",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.