Amybrunermd LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

AMYBRUNERMD LLC

Practice address

1975 NW 167TH PL Ste 100
Beaverton, OR 97006-4908

Phone

(971) 347-3192

Fax

(503) 662-6541

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Amy R Bruner, MDNPI 1194757708

Title

Owner

Phone

(503) 804-3861

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Amy R Bruner, M.D.

  • Gynecology Physician
  • Beaverton, OR
  • NPI 1194757708
  NPD Authorized official

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1780141804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-347-3192",
            "fax_number": "503-662-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-347-3192",
            "fax_number": "503-662-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMYBRUNERMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-804-3861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194757708",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Americaredental
• Pauline Atieno Amimo
• Kimia Amirifar, LPC
• Madeline Ammar
• Sreenandini Amrthur Ramachandra, DDS
• Scout Anatricia
• Amanda Andersen
• Sarah Elizabeth Anderson Mills, EFDA
• Amy Anderson, REGISTERED DIETITIAN
• Audrey Rayne Anderson, PA-C

• Gynecology Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.