Jack G Bruner, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G9831 Issued in CA

Practice address

2801 K St Ste 200
Sacramento, CA 95816-5118

Phone

(916) 453-5958

Fax

(916) 733-8290

NPI assigned

Jan 12, 2007

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Sacramento Plastic & Reconstructive Surgery Medical Group Inc

  • Plastic and Reconstructive Surgery Physician
  • Sacramento, CA
  • NPI 1487854600
  NPD (past)
• The Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sacramento, CA
  • NPI 1134291073
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952451759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 K ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165118",
            "telephone_number": "916-453-5958",
            "fax_number": "916-733-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165118",
            "telephone_number": "916-453-5958",
            "fax_number": "916-733-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "JACK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G9831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Brumfield
• Tacoquya Brumfield
• James Andrew Brunberg, M.D.
• Sara Brundage, DO
• Sarah Margaret Carson Brunelle
• Kiarah Jenelle Bruner
• Chad Brunet
• Kayla Marie Lynn Brunner
• Richard D Brunner
• Kristen Bruno

• Plastic Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.