JEREMY BRUUN NPI 1275407462

NPI Information

  • NPI: 1275407462
  • Provider Name: JEREMY BRUUN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4243 JOAQUIN AVE
    CLOVIS, CA
    ZIP 93619
  • Phone: (559) 400-9117

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NPI Details

Jeremy Bruun is an addiction (substance use disorder) counselor in Clovis, CA. Jeremy Bruun NPI is 1275407462. 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:

4243 JOAQUIN AVE
CLOVIS, CA
ZIP 93619-712
Phone: (559) 400-9117

The enumeration date for this NPI number is 10/1/2025 and was last updated on 10/1/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)SUDRC21939CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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