NPIMap

Organization Active NPI

Tony Bruder, PH D & Associates P C

  • Marriage & Family Therapist
  • Virginia Beach, VA
National Provider Identifier
1851483853
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TONY BRUDER, PH D & ASSOCIATES P C
Practice address
289 Independence Blvd
Ste 221
Virginia Beach, VA 23462
Phone
(757) 498-9320
Fax
(757) 498-9321
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Anthony H. Bruder, PH.D.
Title
Owner
Phone
(757) 498-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

289 Independence Blvd
Ste 221
Virginia Beach, VA 23462

Mailing address

289 Independence Blvd
Ste 221
Virginia Beach, VA 23462
Phone (757) 498-9320

Other identifiers 1

IdentifierTypeStateIssuer
340992OtherVATRICARE GROUP PROVIDER #

Other names 1

  • Bruder Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

808 Live Oak Dr
Ste 121
Chesapeake, VA 23320
Phone (757) 498-9320

2017 Cunningham Dr
Hampton, VA 23666
Phone (757) 498-9320

415 York St
Norfolk, VA 23510
Phone (757) 498-9320

289 Independence Blvd
Ste 221
Virginia Beach, VA 23462
Phone (757) 498-9320

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1851483853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "STE 221",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-498-9320",
            "fax_number": "757-498-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "STE 221",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-498-9320",
            "fax_number": "757-498-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY BRUDER, PH D & ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BRUDER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-498-9320",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE GROUP PROVIDER #",
            "identifier": "340992",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruder Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.