Jerry R Bruns, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A41569 Issued in CA

Practice address

1901 Outlet Center Dr
Suite220
Oxnard, CA 93036-0663

Phone

(805) 388-8330

Fax

(805) 388-8030

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Psychiatry

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

La Mer Psychiatric Medical Group, Inc.Group PAC ID 4981504818, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbruns@lamer.officeally.direct

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.

• La Mer Psychiatric Medical Group, Inc.

  • Group Psychotherapy Psychologist
  • Oxnard, CA
  • NPI 1346327517
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1851402184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930110201",
            "telephone_number": "805-388-8330",
            "fax_number": "805-388-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DR",
            "address_2": "SUITE220",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360663",
            "telephone_number": "805-388-8330",
            "fax_number": "805-388-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "JERRY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A41569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph L. Brown, PSYD, MFT
• Donn Richard Browne, M.D.
• Kathryn Browne, PHARMD
• Bruce a. Olson D.P.M., Inc.
• James A Brunner
• Andrew Bryant
• Kaliyan Bryant, NP
• Kamar Bryant
• Sienna Rose Bryant, BSN, RN, PHN
• Timothy Gordon Bryant, M.D.

• Psychiatry Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.