Individual provider Active NPI

Gerald Bruhn, LISW

  • Clinical Social Worker
  • Sioux City, IA
National Provider Identifier
1801908959
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5929 Issued in IA
Practice address
4301 Sergeant Rd
Suite 203
Sioux City, IA 51106-4726
Phone
(712) 276-9000
Fax
(712) 276-4917
NPI assigned
Aug 31, 2006
Last updated
May 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5929 IA Primary

Addresses

Primary practice location

4301 Sergeant Rd
Suite 203
Sioux City, IA 51106-4726

Mailing address

409 Kenyon Road, Suite C
Fort Dodge, IA 50501-5718
Phone (515) 573-3138

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5929IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1801908959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KENYON ROAD, SUITE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SERGEANT RD",
            "address_2": "SUITE 203",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064726",
            "telephone_number": "712-276-9000",
            "fax_number": "712-276-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHN",
        "first_name": "GERALD",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "5929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.