David J. Brusky, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4498-015 Issued in WI

Practice address

410 Security Blvd
Green Bay, WI 54313-9705

Phone

(920) 662-1440

Fax

(920) 662-1443

NPI assigned

May 17, 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 23, 2013 through May 23, 2027

Medicare enrollment (NPD)

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.

• Munoz Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1073101507
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962619957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SECURITY BLVD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139705",
            "telephone_number": "920-662-1440",
            "fax_number": "920-662-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SECURITY BLVD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139705",
            "telephone_number": "920-662-1440",
            "fax_number": "920-662-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSKY",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4498-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33797600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubree Rae Bruhnding, DO
• Paul Bruhnding, D.O.
• Kennedy M Brummond, OT
• Jeffrey Brunner, PT
• James Bruno, DO
• James A Brusky, DDS
• Bruss Supportive Community Living
• Dianna Leigh Bruss, LPC
• Todd Harold Bruss, ATC, LAT, CSCS, PA-C
• Megan C Brzezinski, APNP

• Dentist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dentist in Wisconsin

• 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.
• 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.