John Brueshaber Jr., NP-C

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

RN204034 Issued in GA

Practice address

3320 Old Jefferson Rd
BLDG 700
Athens, GA 30607-1400

Phone

(706) 353-2990

Fax

(706) 353-4352

NPI assigned

Apr 23, 2014

Last updated

Sep 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1821418369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BLDG 700",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BLDG 700",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUESHABER",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "GA",
            "license": "RN204034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brownell, RD, LD, CNSC
• Erica D Brownfield, MD, FACP
• Jennifer Browning
• Shannon Bruckner, LCSW, CAADC
• Nancy Brudney
• Michael Brugger, P.A.
• Harlan Jason Bruner, M.D.
• Lia P Bruner, MD
• Rebekah Bruner, PTA
• Tiago Poleselli Bruniera, PA-C

• Adult Health Clinical Nurse Specialist in Athens, GA
• Providers in Athens, GA by specialty
• Adult Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.