Vivian Bruno

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

050546 Issued in NY

Practice address

84 Front St
Port Jervis, NY 12771-2415

Phone

(716) 543-7138

Fax

(716) 240-2255

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1861048589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BLUESTONE CIR",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379696",
            "telephone_number": "646-831-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 FRONT ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712415",
            "telephone_number": "716-543-7138",
            "fax_number": "716-240-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "050546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braunagel & Braunagel, Inc.
• Carl Joseph Braunagel Jr., R.PH.
• Breitbeck Physician Medicine Services, PC
• David Harold Brody, M.D.
• Ann Marie Brown, LMHC, NCC
• Built for Growth LLC
• Chad Michael Burkhart
• Olga Buyanova
• Yasu Caballero, NYS CASAC
• Miguelina A Cabrera, MS.SP.ED

• Clinical Social Worker in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.