Amy M. Bruton, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

200401474 Issued in NC

Practice address

7509 Six Forks Rd
Raleigh, NC 27615-5048

Phone

(919) 417-2520

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Whole Woman, PLLC

  • Gynecology Physician
  • Raleigh, NC
  • NPI 1972142727
  NPD Authorized official
• Main Street Women'S Health, PA

  • Specialist
  • High Point, NC
  • NPI 1467402479
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1952365744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HORSETRAIL WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874606",
            "telephone_number": "919-417-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155048",
            "telephone_number": "919-417-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Sunset Ridge Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076668",
            "country_code": "US",
            "telephone_number": "919-787-7085",
            "fax_number": "919-787-7086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUTON",
        "first_name": "AMY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125050267",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200401474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Nikia Brunson, LCMHCA
• Nathan Tucker Brunson, LCSW
• Rosalind M Brunson
• Mary Elizabeth Brunswick, PA-C
• Julianne Bruskewicz-Trell, DC
• Joyneca Bruton
• Robert F Bruzga, PT
• Amy Lynn Bryan, LCSW
• Carlos Cornelius Bryan, LCSWA
• Cynthia Bryan, NP-C

• Obstetrics & Gynecology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.