CONNIE KIM BRUNO
NPI 1497136287
Anesthesiology - Pain Medicine in San Jose, CA

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
61.16/100
CMS Quality Rating
2105 FOREST AVE, SAN JOSE, CA 95128(408) 947-2500 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Kim Bruno NPPES

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

CONNIE KIM BRUNO (NPI 1497136287) is an individual pain medicine provider in San Jose, California, licensed in California (A169262) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497136287
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameCONNIE KIM BRUNO
Location Address2105 FOREST AVESan Jose, CA 95128-1425
Mailing Address10260 Parkwood Dr Apt 8Cupertino, CA 95014-1431 · (347) 822-5743
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
NPI 1497136287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · A169262
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2105 FOREST AVE, San Jose, CA 95128

Other Names 1

Former Name (1)Connie Kim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Connie Kim Bruno is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224336078
PECOS Enrollment IDI20200819003523
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.6
Improvement Activities40

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.

Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Perfusionist
2105 FOREST AVE
SAN JOSE, CA 95128
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
2105 FOREST AVE
SAN JOSE, CA 95128
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Physical Therapist
2105 FOREST AVE
SAN JOSE, CA 95128
Nurse Practitioner (Family)
2105 FOREST AVE
SAN JOSE, CA 95128

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 Connie Bruno's NPI number?

The NPI number for Connie Bruno is 1497136287. It was assigned to this individual provider in the NPPES registry on June 17, 2015. The provider is also known as Connie Kim.

Where is Connie Bruno located?

Connie Bruno practices at 2105 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 947-2500.

What is Connie Bruno's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Connie Bruno enrolled in Medicare?

Yes. Connie Bruno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Connie Bruno was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.