Individual provider Active NPI

Jennifer Bruny, MD

  • Pediatric Surgery Physician
  • Anchorage, AK
National Provider Identifier
1801942495
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
43866 Issued in CO
Practice address
3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone
(907) 929-7337
Fax
(907) 929-7330
NPI assigned
Jan 26, 2007
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 43866 CO Primary
Pediatric Surgery Physician 2086S0120X 166507 AK

Addresses

Primary practice location

3841 Piper Street
Suite T4-020
Anchorage, AK 99508

Mailing address

3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone (907) 929-7337

Other practice location 1

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, AK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070913000482 CO Practitioner - General SurgeryPractitioner - Other (Physician) 0446344089 Reassigns benefits to 1 organization
I20210225001043 TX Practitioner - General Surgery 0446344089 Reassigns benefits to 1 organization
I20210308001057 AK Practitioner - General SurgeryPractitioner - Other (Physician) 0446344089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43866COMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Pediatric Specialties LLC CurrentSince Mar 1, 2021 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 18, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 6, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 6, 2019 Accepting new patients

Locations

3841 Piper St
Ste T4-020
Anchorage, AK 99508
Phone (907) 646-8500

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4100 Lake Otis Pkwy
Ste 312
Anchorage, AK 99508
Phone (907) 569-3668

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: jlbruny@direct.anthc.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1801942495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-929-7337",
            "fax_number": "907-929-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-929-7337",
            "fax_number": "907-929-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNY",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CO",
            "license": "43866",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AK",
            "license": "166507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.