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

Mallory Belanger Bruneau

Individual provider Acute Care Nurse Practitioner · NPI 1578339164

Mallory Belanger Bruneau is a Nurse Practitioner in Tilton, New Hampshire. Qualified in 2023, 3 years ago. Practices with Complexcare Medical Group Northeast H PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
3
Licensed in
NH
In the registry since
2023

Practice location Address checks out

139 Winter St
Tilton, NH 03276-5415
Phone: (603) 527-4400
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 075906-23 (NH)

Record details

NPI number1578339164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address18 Ty Ln, Concord, NH 03303-1049

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Complexcare Medical Group Northeast H Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount