Individual provider Active NPI

Jessica Rose Bruso, DO

  • Physical Medicine & Rehabilitation Physician
  • Santa Rosa, CA
National Provider Identifier
1710145719
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
10587 Issued in CA
Practice address
990 Sonoma Ave Ste 3
Santa Rosa, CA 95404-4813
Phone
(707) 225-3535
Fax
(707) 225-3530
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10587 CA Primary

Addresses

Primary practice location

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

Mailing address

990 Sonoma Ave Ste 3
Santa Rosa, CA 95404-4813
Phone (707) 225-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000070 CA Practitioner - Physical Medicine and Rehabilitation 5193986214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruso Medical Group IncGroup PAC ID 2769909233, 2 clinicians

Practice addresses (Care Compare)

990 Sonoma Ave
Suite 3
Santa Rosa, CA 95404-4813
Phone (707) 225-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bruso Medical Group, Inc. Physical Medicine & Rehabilitation CurrentSince Mar 19, 2025 Accepting new patients

Locations

990 Sonoma Ave
Ste 3
Santa Rosa, CA 95404
Phone (707) 225-3535

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1710145719",
    "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",
            "fax_number": "707-225-3530"
        },
        {
            "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",
            "fax_number": "707-225-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSO",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "10587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.