David Matthew Bruns

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3647 Highway 39
Klamath Falls, OR 97603-2612

Phone

(541) 884-5244

Fax

(541) 884-1105

NPI assigned

Mar 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Klamath Tribal Health & Family Services

  • Federally Qualified Health Center (FQHC)
  • Chiloquin, OR
  • NPI 1629078274
  NPD (past)
• Klamath Tribal Health and Family Services

  • Case Management Agency
  • Klamath Falls, OR
  • NPI 1598331753
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1932474293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 HIGHWAY 39",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976032612",
            "telephone_number": "541-884-5244",
            "fax_number": "541-884-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 HIGHWAY 39",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976032612",
            "telephone_number": "541-884-5244",
            "fax_number": "541-884-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Ann Brown, DMD
• Thomas R Brown, M.D.
• Valorie Mae Brown, QMHA
• Victor Miguel Brown
• Colt David Bruner-Streed
• Kathleen Brunsdon
• Melinda Diann Brunsdon
• Rebecca Lynn Brunsdon
• J Eric Brunswick, M.D.
• Logan Bruttig, DO

• Peer Specialist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.