Bob Brutus
Individual provider Active NPI Licensed Practical Nurse · Sharon, MA
NPI 1831805670 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1831805670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN91561 (MA)
- Practice address
- 257 S Walpole St
Sharon, MA 02067-1606 - Phone
- (617) 894-8989
- NPI assigned
- Jan 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN91561 | MA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN91561 | MA | Yes |
Addresses
Primary practice location
257 S Walpole St
Sharon, MA 02067-1606
Mailing address
257 S Walpole St
Sharon, MA 02067-1606
Other providers in Sharon, MA
- Rachel Brandes
- Stacey Marie Breen Greally
- Anjela R Brenner
- Gary R Brissette
- Melissa Bronstein
- Susan Polonsky Cable
- Jean Capone
- Cardinal Speech and Stuttering Therapy LLC
- Caring and Helping Home Care Agency LLC
- Caring Hands Home Services, Inc.
All providers in Sharon, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.