JENNIFER BRUNY MD NPI 1801942495

NPI Information

  • NPI: 1801942495
  • Provider Name: JENNIFER BRUNY, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4100 LAKE OTIS PKWY STE 312
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 929-7337

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NPI Details

Jennifer Bruny, MD is a pediatric surgery surgery in Anchorage, AK with 26 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Jennifer Bruny, MD NPI is 1801942495. 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:

4100 LAKE OTIS PKWY STE 312
ANCHORAGE, AK
ZIP 99508-231
Phone: (907) 929-7337
Fax: (907) 929-7330

The NPI 1801942495 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 1/26/2007 and was last updated on 4/13/2021.

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
12086S0120XSurgeryPediatric Surgery43866COLORADOYes
22086S0120XSurgeryPediatric Surgery166507ALASKANo

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
11007956MEDICAIDALASKA

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

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