Robert W. Bruley, Jr, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23723 Issued in MN

Legal business name

ROBERT W. BRULEY, JR, LTD

Practice address

2826 W 43Rd St
Minneapolis, MN 55410-1536

Phone

(612) 455-0444

Fax

(612) 455-0600

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert W. Bruley Jr., MD

Title

Owner

Phone

(612) 455-0444

Specialties & licenses 1

Addresses

Other names 1

• Bruley Center Doing business as

Locations

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1861637662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 W 43RD ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101536",
            "telephone_number": "612-455-0444",
            "fax_number": "612-455-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 W 43RD ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101536",
            "telephone_number": "612-455-0444",
            "fax_number": "612-455-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. BRULEY, JR, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "BRULEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-455-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "23723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruley Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Robbins, PHARM.D
• Nicole Mitchell Robbins, LICSW
• Zakia Miesha Robbins
• Cassandra Kay Roberson, L.AC.
• Robert B Clift PH D PA
• Christina J Robert, LMFT
• Shelley Roberts Gyllen
• Roberts Shoes, Inc
• Bethany Roberts, LMSW
• Daniela Roberts, PHARM.D.

• Family Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.