NPIMap

Individual provider Active NPI

Kimberly M Bruno, MD

  • Family Medicine Physician
  • Morrisville, VT
National Provider Identifier
1992752836
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42-9641 Issued in VT
Practice address
109 Professional Dr
Morrisville, VT 05661-9301
Phone
(802) 851-0999
Fax
(877) 245-5990
NPI assigned
May 27, 2006
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42-9641 VT Primary

Addresses

Primary practice location

109 Professional Dr
Morrisville, VT 05661-9301

Mailing address

109 Professional Dr
Morrisville, VT 05661-9301
Phone (802) 851-8600

Other identifiers 3

IdentifierTypeStateIssuer
080157480OtherVTTRAVELERS MEDICARE
0002074MedicaidVT
00048095OtherVTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022000022 VT Practitioner - Family Practice 7012100068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamarack Family MedicineGroup PAC ID 9830429109, 5 clinicians
Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians

Practice addresses (Care Compare)

109 Professional Dr
Morrisville, VT 05661-8524
Phone (802) 851-0999

528 Washington Hwy
Orthopaedics
Morrisville, VT 05661-8973
Phone (802) 888-8405

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as group
Quality
99.06
Improvement activities
40
Cost
63.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42-9641VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital, Inc CurrentSince Oct 20, 2021 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital Inc Current Accepting new patients
Tamarack Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
Copley Hospital, Inc. CurrentSince Oct 20, 2021 Accepting new patients

Locations

109 Professional Dr
Morrisville, VT 05661
Phone (321) 615-8328

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

Interoperability endpoints

  • Direct secure messaging: kimberly.bruno@tamarack.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1992752836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL DR",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056619301",
            "telephone_number": "802-851-8600",
            "fax_number": "877-245-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL DR",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056619301",
            "telephone_number": "802-851-0999",
            "fax_number": "877-245-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "42-9641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "080157480",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002074",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00048095",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.