Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Womock Bruno

Individual provider Family Medicine Physician · NPI 1528452901

Justin Womock Bruno is a Family Practice in Portland, Oregon. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
OR
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19500 SE Stark St
Portland, OR 97233-5757
Phone: (800) 813-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Nw Samaritan Dr, Corvallis, OR 97330-5472 — (541) 768-4906

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO189652 (OR)

Record details

NPI number1528452901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2031

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland