Amanda Wilson Bruns, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-109532 Issued in AL

Practice address

232 Office Park Dr
Gulf Shores, AL 36542-3432

Phone

(251) 968-2323

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulf Shores Pediatrics PC

  • Pediatrics Physician
  • Gulf Shores, AL
  • NPI 1932121845
  NPD (past)
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1780083402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CULLODEN CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057204",
            "telephone_number": "334-685-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 OFFICE PARK DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423432",
            "telephone_number": "251-968-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "AMANDA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-109532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Taylor Richardson Brannan, PHARMD
• Kiwana Trechelle Brooks, APRN
• Brown Gynecology and Surgery LLC
• Brown Gynecology and Surgery, LLC
• Richard Craig Brown Jr., D.O.
• Erin Carney
• Linda Jones Caylor, R.PH.
• Tamara Tidwell Cerniglia, FNP
• Chiropractic Care, Inc.
• Chiropractic Connection

• Pediatric Nurse Practitioner in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.