Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqlene Christina Bruno, PA-C

Individual provider Physician Assistant · NPI 1487917613

Jacqlene Christina Bruno, PA-C is a Physician Assistant in Royal Oak, Michigan. Qualified in 2012, 14 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3555 W 13 Mile Rd Ste N120
Royal Oak, MI 48073-6710
Phone: (855) 863-8761
Fax: (248) 551-2301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6071 W Outer Dr, Detroit, MI 48235-2624 — (313) 966-4800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006361 (MI)

Record details

NPI number1487917613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2012
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Royal Oak