JEFFREY BRUNO — NPI 1619266525 (Licensed & Credentialed Health Maintenance Organization in BROCKTON, MA)

CMS-1500 Box 24J / 33a • NPI

1619266525

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

302R00000X

Licensed & Credentialed Health Maintenance Organization

Box 32 Service Location & ZIP+4

804 PLEASANT ST, BROCKTON, MA, 02301-3055

✓ 9-Digit EDI 837 ZIP+4 (02301-3055)

Practice Phone & Referral Fax

(508) 583-6000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619266525 (JEFFREY BRUNO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619266525` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEFFREY BRUNO
Plain-English Specialty	Licensed & Credentialed Health Maintenance Organization NUCC Code: `302R00000X` (Health Maintenance Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	804 PLEASANT ST, BROCKTON, MA, 02301-3055
Practice Telephone / Fax	Tel: (508) 583-6000
Administrative Mailing Address	708 PARK PL, RAYNHAM, MA, 02767-8068
Enumeration & Last Sync	Enumerated: 2011-03-31 \| CMS Record Updated: 2011-03-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

804 PLEASANT ST, BROCKTON, MA, 02301-3055

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Plain-English Taxonomy & CMS Crosswalk (302R00000X)

What Does Taxonomy Code 302R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Health Maintenance Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEFFREY BRUNO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: MA \| License: `6054` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JEFFREY BRUNO (NPI #1619266525)