| Organization Name: | JAMES E BRUNS OD A PROFESSIONAL |
| NPI Number: | 1306112362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE C BORDI (OFFICE MANAGER) |
| Mailing Address: | 6180 State Farm Dr Rohnert Park |
| State: | CA US |
| Postal Code: | 949282135 |
| Phone Number: | 7075847294 |
| Fax Number: | 7075844728 |
| NPI Enumeration Date: | 03/23/2012 |
| NPI Last Update Date: | 12/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305S00000X |
| License Number: | CA5247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Point of Service |
| Taxonomy Specialization: | |
| Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |