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

Stephan C Bruni, NURSEPRACTITIONER

Individual provider Orthopaedic Surgery Physician · NPI 1649896382

Stephan C Bruni, NURSEPRACTITIONER is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

125 Parker Hill Ave
Boston, MA 02120-2847
Phone: (617) 754-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence RN2306559 (MA)

Record details

NPI number1649896382
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 18, 2020
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address301 Washington St Apt 3, Quincy, MA 02169-5528

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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