Individual provider Active NPI

Paris Bruner

  • Case Manager/Care Coordinator
  • Warren, OH
National Provider Identifier
1730966326
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
150 E Market St
Warren, OH 44481-1141
Phone
(330) 394-6342
Fax
(330) 394-6029
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

150 E Market St
Warren, OH 44481-1141

Mailing address

150 E Market St
Warren, OH 44481-1141
Phone (330) 394-6342

Other practice location 1

318 Mahoning Ave NW
Warren, OH 44483-4605
Phone (330) 395-9563

Other practice location 2

143 Gougler Ave
Kent, OH 44240-2401
Phone (330) 677-4124

Other practice location 3

4970 Belmont Ave
Youngstown, OH 44505-1018
Phone (330) 759-8237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1730966326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811141",
            "telephone_number": "330-394-6342",
            "fax_number": "330-394-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811141",
            "telephone_number": "330-394-6342",
            "fax_number": "330-394-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Mahoning Ave NW",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444834605",
            "country_code": "US",
            "telephone_number": "330-395-9563",
            "fax_number": "330-393-5975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Gougler Ave",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442402401",
            "country_code": "US",
            "telephone_number": "330-677-4124",
            "fax_number": "330-677-4134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4970 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051018",
            "country_code": "US",
            "telephone_number": "330-759-8237",
            "fax_number": "330-759-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "PARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.