Mobility Medicine, PLLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

MOBILITY MEDICINE, PLLC

Practice address

3902 Henderson Blvd Ste 208-9
Tampa, FL 33629-5038

Phone

(248) 385-3412

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Jonathan Bruner, DONPI 1235331901

Title

Owner/Medical Director

Phone

(248) 385-3412

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Nolen Bruner, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tampa, FL
  • NPI 1235331901
  NPD (past) Authorized official

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1710593769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 HENDERSON BLVD STE 208-9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295038",
            "telephone_number": "248-385-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 HENDERSON BLVD STE 208-9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295038",
            "telephone_number": "248-385-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-385-3412",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Medical Care
• Mobile Optix PLLC
• Mobile Prosthetics & Orthotics, Inc.
• Mobilelab,Co
• Mobility Clinic LLC
• Mobility Transporters LLC
• Andrew O. Mobley, R.PH.
• Brooke M Mobley, DO
• Marion Latavia Mobley, BA
• Michael Clay Mobley, PHARMD

• Neuromusculoskeletal Medicine & OMM Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.