Bruce R. Brumm, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

35476 Issued in CA

Legal business name

BRUCE R. BRUMM, D.D.S., INC.

Practice address

3957 Governor Dr
San Diego, CA 92122-2520

Phone

(858) 453-1500

Fax

(858) 453-0488

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bruce R Brumm, D.D.S.

Title

Dentist/Owner

Phone

(858) 453-1500

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.

• Larry J Hovey

  • Dentist
  • San Diego, CA
  • NPI 1740205632
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1770026965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222520",
            "telephone_number": "858-453-1500",
            "fax_number": "858-453-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222520",
            "telephone_number": "858-453-1500",
            "fax_number": "858-453-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R. BRUMM, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "BRUMM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "858-453-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McQuade Nicholas Brubaker, PA
• Patricia Sue Brubaker, RN
• Kaitlyn Bruccheri, AU.D.
• Bruce a. Brazinsky, a Podiatry Corporation
• Bruce E. Blakely, D.C., a Medical Corporation
• Bruce Sahba MD a Medical Corporation
• Nathaniel Bruce-Black, HAD
• Angelea Marie Bruce, RD
• Bre'Aja Bruce, RN
• Janaia Bruce

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.