Carl Francis Bruno, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305004860 Issued in VA

Practice address

2007 Meade Pkwy
Suffolk, VA 23434-4259

Phone

(757) 539-6300

Fax

(757) 539-0704

NPI assigned

Jun 5, 2006

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

Medicare enrollment (NPD)

Enrolled

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.

• Grace Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fredericksburg, VA
  • NPI 1114256534
  NPD (past) Authorized official
• Orthopedic Specialty Clinic LTD

  • Orthopaedic Surgery Physician
  • Fredericksburg, VA
  • NPI 1295766376
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Richmond, VA
  • NPI 1386165264
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1538680400
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Richmond, VA
  • NPI 1588185458
  NPD (past)
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Suffolk, VA
  • NPI 1831610708
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1093172181
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Palmyra, VA
  • NPI 1881133791
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1972542017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 PILOT HOUSE DRIVE",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 MEADE PKWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-6300",
            "fax_number": "757-539-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "CARL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawuana Brown
• Terri Brown, CNHP LDHP BCC
• Valerie Brown
• Bowman R. Browne Sr., DDS
• Shani Evine Brumley, PHARMD.
• Joseph Chris Bruno Jr.
• Richard Raymond Bruno, D.P.M.
• Clarissa Lashea Bryant, BCBA
• Gwendolyn Yolanda Bryant, LPN
• Kelsey Bryant

• All providers in Suffolk, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.