Marilyn Anne Bruderer, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

204393-4405 Issued in UT

Practice address

718 Smyth Rd
VA Medical Center
Manchester, NH 03104-7004

Phone

(603) 624-4366

Fax

(603) 626-6572

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NH

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962461863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 HOWE ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442128",
            "telephone_number": "978-688-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "VA MEDICAL CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047004",
            "telephone_number": "603-624-4366",
            "fax_number": "603-626-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDERER",
        "first_name": "MARILYN",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "204393-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Renee Broyer, PHARMD
• Anamarija Brozovic
• Bruce M. Topol, MD,, PA
• Demeria M Bruce
• Robin Bruck, D.C.
• Alexis Jenna Brunelle, PT, DPT
• Mary Brunette, MD
• Evelyn Marie Bryan, DMD
• Hannibal Bryan
• John A Bryan, MD

• Adult Health Nurse Practitioner in Manchester, NH
• Providers in Manchester, NH by specialty
• Adult Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.