DR. TROY LAWN BRUNER ED.D
NPI 1295905479
Psychologist in Medical Lake, WA

Active since March 04, 2008PECOS Enrolled
850 MAPLE STREET, MEDICAL LAKE, WA 99022(509) 565-4000(509) 565-4705 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Troy Lawn Bruner Ed.d NPPES

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

DR. TROY LAWN BRUNER ED.D (NPI 1295905479) is an individual psychologist in Medical Lake, Washington, licensed in Washington (PY60115733) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295905479
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. TROY LAWN BRUNERCredential: ED.D
Location Address850 MAPLE STREETMedical Lake, WA 99022-0800
Mailing Address322 W North River Dr, Riverfront Medical CenterSpokane, WA 99201 · (509) 324-6464 · Fax (509) 241-2056
Fax(509) 565-4705
Sole ProprietorNo
Enumeration DateMarch 4, 2008
Last NPPES UpdateJune 11, 2018
NPI 1295905479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60115733
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY-202879 (ID), PY60115733 (WA)
850 MAPLE STREET, Medical Lake, WA 99022

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. Troy Lawn Bruner Ed.d 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Dentist (General Practice)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Troy Bruner's NPI number?

The NPI number for Troy Bruner is 1295905479. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Troy Bruner located?

Troy Bruner practices at 850 Maple Street, Medical Lake, WA 99022. The listed phone number is (509) 565-4000.

What is Troy Bruner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Troy Bruner enrolled in Medicare?

Yes. Troy Bruner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Troy Bruner was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.