Individual provider Active NPI

Amy Elizabeth Bruno, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1932221140
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309499 Issued in NY
Practice address
64 Bleecker St # 151
New York, NY 10012-2410
Phone
(302) 810-1584
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN243715 MA
Adult Health Nurse Practitioner 363LA2200X 309499 NY Primary
Adult Health Nurse Practitioner 363LA2200X 12.008576 CT
Adult Health Nurse Practitioner 363LA2200X 5012688 NC

Addresses

Primary practice location

64 Bleecker St # 151
New York, NY 10012-2410

Mailing address

64 Bleecker St # 151
New York, NY 10012-2410

Other practice location 1

315 W 2nd St
Greenville, NC 27834-1969
Phone (252) 507-0588

Other identifiers 1

IdentifierTypeStateIssuer
110078956AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NC, NY, AL, CT, NM6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20230912000715 ME Practitioner - Nurse Practitioner 6204908577 Reassigns benefits to 1 organization
I20230912001918 NC Practitioner - Nurse Practitioner 6204908577 Reassigns benefits to 1 organization
I20231103003176 NY Practitioner - Nurse Practitioner 6204908577 Reassigns benefits to 1 organization
I20231227001168 AL Practitioner - Nurse Practitioner 6204908577
I20250421002674 CT Practitioner - Nurse Practitioner 6204908577
I20250528003298 NM Practitioner - Nurse Practitioner 6204908577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN243715MAMDNurse Practitioner
12.008576CTMDAdult Health Nurse Practitioner
309499NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Galileo Medical Group, NM PC CurrentSince Mar 28, 2025 Accepting new patients
Galileo Medical PC CurrentSince Aug 30, 2023 Accepting new patients
Galileo Medical Group NC PC CurrentSince Jul 28, 2023 Accepting new patients
Galileo Medical Group Me, PC CurrentSince Aug 1, 2023 Accepting new patients
Galileo Medical Group Al, P.C. CurrentSince Dec 12, 2023 Accepting new patients

Locations

324 Commons Dr
Birmingham, AL 35209
Phone (334) 442-9805

436 Main St
Presque Isle, ME 04769
Phone (347) 933-6246

315 W 2nd St
Greenville, NC 27834
Phone (252) 507-0588

206 S Coronado Ave
Espanola, NM 87532
Phone (616) 438-0737

632 Broadway
Ph 12
New York, NY 10012
Phone (347) 294-3414

319 Lafayette St
#151
New York, NY 10012
Phone (302) 313-1584

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

632 Broadway
New York, NY 10012
Phone (347) 762-7392

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: abruno5589@direct.southcoast.org
  • FHIR API: https://api.platform.athenahealth.com/18871/brand/2/csg/1/fhir/r4
  • Direct secure messaging: amy.bruno@450368864321540.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1932221140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "302-810-1584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278341969",
            "country_code": "US",
            "telephone_number": "252-507-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN243715",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309499",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "12.008576",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5012688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078956A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.