Individual provider Active NPI

Thomas Andrew Bruns, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1982084570
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25494 Issued in MD
Practice address
5009 Frankford Ave
Baltimore, MD 21206-5353
Phone
(410) 325-4000
NPI assigned
Jun 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25494 MD Primary

Addresses

Primary practice location

5009 Frankford Ave
Baltimore, MD 21206-5353

Mailing address

920 Burnett Ave
Arnold, MD 21012-1716
Phone (443) 889-9003

Other identifiers 1

IdentifierTypeStateIssuer
25494OtherMDLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811004434 MD Practitioner - Physical Therapist in Private Practice 8729393400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4 Oaks Physical Therapy, LLCGroup PAC ID 1759604838, 18 clinicians
4 Oaks Physical Therapy of Harford CountyGroup PAC ID 2769714872, 8 clinicians

Practice addresses (Care Compare)

1413 Madison Park Dr
Suite 100
Glen Burnie, MD 21061-5613
Phone (443) 583-3757

9 Schilling Rd
Suite LL3
Hunt Valley, MD 21031-8644
Phone (410) 229-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25494MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
4 Oaks Physical Therapy of Harford County Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
4 Oaks Physical Therapy, LLC. Physical Therapist CurrentSince Sep 18, 2021 Accepting new patients
William J Pogoda MD PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

21 Mellor Ave
Catonsville, MD 21228
Phone (443) 251-2760

2000 Century Plz
Columbia, MD 21044
Phone (410) 740-4802

10632 Little Patuxent Pkwy
Ste 123
Columbia, MD 21044
Phone (443) 917-2973

1413 Madison Park Dr
Ste 100
Glen Burnie, MD 21061
Phone (443) 583-3757

9 Schilling Rd
Ste LL3
Hunt Valley, MD 21031
Phone (410) 229-9800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1982084570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BURNETT AVE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121716",
            "telephone_number": "443-889-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 FRANKFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065353",
            "telephone_number": "410-325-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "25494",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.