DR. KYLE STUART BRUUN MD
NPI 1013775469
General Practice in Bethesda, MD

Q: What is Kyle Bruun's NPI number?

The NPI number for Kyle Bruun is 1013775469. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Kyle Bruun's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Bruun was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 11, 2024PECOS Enrolled

4954 N PALMER RD, BETHESDA, MD 20889(301) 295-0451 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2025, Jul 10, 2024 (2 updates tracked since 2024).

On this page

About Dr. Kyle Stuart Bruun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE STUART BRUUN MD (NPI 1013775469) is an individual general practice provider in Bethesda, Maryland, licensed in Virginia (0101286776) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013775469

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KYLE STUART BRUUNCredential: MD

Location Address4954 N PALMER RDBethesda, MD 20889-5630

Mailing Address4954 N Palmer RdBethesda, MD 20889-5630

Phone(301) 295-0451

Sole ProprietorNo

Enumeration DateMarch 11, 2024

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1013775469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101286776

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

4954 N PALMER RD, Bethesda, MD 20889

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Stuart Bruun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty