MRS. AMANDA LYNN BRUSCHI PA-C NPI 1033179106

NPI Information

NPI: 1033179106
Provider Name: MRS. AMANDA LYNN BRUSCHI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1616 S KELLY AVE
EDMOND, OK
ZIP 73013
Phone: (405) 330-0015
Get Directions

MRS. Amanda Lynn Bruschi, PA-C is a surgical physician assistant in Edmond, OK. MRS. Amanda Lynn Bruschi, PA-C NPI is 1033179106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1616 S KELLY AVE
EDMOND, OK
ZIP 73013-651
Phone: (405) 330-0015
Fax: (405) 330-0092

The enumeration date for this NPI number is 3/24/2006 and was last updated on 12/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	1471	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200075020A	MEDICAID	OKLAHOMA
2	Q59315	MEDICARE UPIN	OKLAHOMA
3	OK402524	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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