JAMES E BRUNS OD A PROFESSIONAL
NPI 1306112362
Point of Service in Rohnert Park, CA

Active since March 23, 2012
6180 STATE FARM DR, ROHNERT PARK, CA 94928(707) 584-7294(707) 584-4728 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James E Bruns Od A Professional NPPES

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

JAMES E BRUNS OD A PROFESSIONAL (NPI 1306112362) is a healthcare organization registered as a point of service in Rohnert Park, California and active in the NPI registry since March 2012. The organization lists Leslie C Bordi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306112362
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameJAMES E BRUNS OD A PROFESSIONAL
Location Address6180 STATE FARM DRRohnert Park, CA 94928-2135
Mailing Address6180 State Farm DrRohnert Park, CA 94928-2135 · (707) 584-7294 · Fax (707) 584-4728
Fax(707) 584-4728
Organization SubpartNo
Authorized OfficialLeslie C BordiOffice Manager · (707) 584-7294
Enumeration DateMarch 23, 2012
Last NPPES UpdateDecember 19, 2013
✔ NPI 1306112362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in CA · CA5247
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.
6180 STATE FARM DR, Rohnert Park, CA 94928

Other Identifiers 3

Medicare UPINTO9917
MedicaidSD0052470CA
Medicare PINCA108763CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E Bruns Od A Professional is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20131205000795Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to James E Bruns Od A Professional, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1306926787
6180 STATE FARM DR
Rohnert Park, CA 94928
(707) 584-7294
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1982263265
157 PETALUMA BLVD N
Petaluma, CA 94952
(707) 285-7475
✔ PECOS✔ Accepts Medicare8.7 mi
Optometry
NPI 1477020220
6035 NW LOOP 410
San Antonio, TX 78238
(210) 680-5451
✔ PECOS1,508 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 James E Bruns Od A Professional's NPI number?

The NPI number for James E Bruns Od A Professional is 1306112362. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is James E Bruns Od A Professional located?

James E Bruns Od A Professional is located at 6180 State Farm Dr, Rohnert Park, CA 94928. The listed phone number is (707) 584-7294.

What is James E Bruns Od A Professional's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is James E Bruns Od A Professional enrolled in Medicare?

Yes. James E Bruns Od A Professional is registered in the Medicare PECOS enrollment system.

When is James E Bruns Od A Professional's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through James E Bruns Od A Professional?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to James E Bruns Od A Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does James E Bruns Od A Professional accept?

Health plans from Anthem Blue Cross and Blue Shield list James E Bruns Od A Professional as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James E Bruns Od A Professional was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.