Vanda Bruner MD PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MA57098 Issued in NJ

Legal business name

VANDA BRUNER MD PA

Practice address

719 N Beers St
Suite 1a
Holmdel, NJ 07733-1522

Phone

(732) 264-4646

NPI assigned

Aug 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vanda Bruner, MDNPI 1023066305

Title

President

Phone

(732) 946-7951

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.

• Vanda Bruner, MD

  • Pediatric Adolescent Medicine Physician
  • Holmdel, NJ
  • NPI 1023066305
  NPD (past) Authorized official

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1760739775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COUNTRY SQUIRE LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332369",
            "telephone_number": "732-946-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 1A",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-264-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDA BRUNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "VANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-946-7951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA57098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True North Clinical Services LLC
• Samantha Elizabeth Truglio
• Folarin Tuboku-Metzger, M.D.
• Gregory Turner
• Ali Valimahomed, M.D.
• Veronica Varipapa, P.T.
• Ajay Medavaram Varma, M.B. CH.B
• Gurbachan Varma, M.D.
• Vein Center for Women PC
• Daniella Marie Veliz, PA-C

• Pediatric Adolescent Medicine Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.