RYNE B BRUNER APRN NPI 1255735700

NPI Information

NPI: 1255735700
Provider Name: RYNE B BRUNER, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
200 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-0800
Get Directions

Ryne B Bruner, APRN is a psychiatric/mental health nurse practitioner in Louisville, KY. Ryne B Bruner, APRN NPI is 1255735700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202-831
Phone: (502) 588-0800
Fax: (502) 588-0801

The NPI 1255735700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 4/4/2023.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	3008991	KENTUCKY	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3008991	KENTUCKY	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	Other Provider Identifier Issuer
1	201270890	MEDICAID	INDIANA
2	7100325560	MEDICAID	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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