Individual provider Active NPI

Bruno Caro, NP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1831769710
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113715 Issued in NE
Practice address
4920 S 30TH St
Omaha, NE 68107-1590
Phone
(402) 734-4110
Fax
(402) 734-3990
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 79656 NE
Nurse Practitioner 363L00000X 113715 NE Primary

Addresses

Primary practice location

4920 S 30TH St
Omaha, NE 68107-1590

Mailing address

5514 Harney St
Omaha, NE 68132-3436
Phone (402) 972-5499

Other identifiers 1

IdentifierTypeStateIssuer
113715OtherNEADVANCED PRACTICE REGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000983 NE Practitioner - Nurse Practitioner 8527464056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneworld Community Health Centers IncGroup PAC ID 3173435153, 56 clinicians

Practice addresses (Care Compare)

4910 S 30TH St
Suite 103
Omaha, NE 68107-1519
Phone (402) 734-4110

4920 S 30TH St
Suite 103
Omaha, NE 68107-1656
Phone (402) 734-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
79656NEMDRegistered Nurse
113715NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hazlo PC CurrentSince Nov 8, 2025 Accepting new patients
Oneworld Community Health Centers, Inc. PastSince Jul 4, 2021 Accepting new patients
Oneworld Community Health Centers, Inc. Past Accepting new patients
Oneworld Community Health Centers, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brunocarohazlo@docvilladirect.com
  • Direct secure messaging: bruno.caro.p1@direct.oneworldomaha.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1831769710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 HARNEY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323436",
            "telephone_number": "402-972-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071590",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARO",
        "first_name": "BRUNO",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "79656",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "113715",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.