Jack Bruner, MD
NPI 1578355806 · Family Medicine Physician · Boise, ID
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Bruner, MD is a Family Medicine Physician provider in Boise, ID (NPI 1578355806).
Provider details
- NPI number
- 1578355806
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 5071560 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-21
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Jack Bruner's NPI number?
- Jack Bruner's National Provider Identifier (NPI) is 1578355806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bruner's specialty?
- Jack Bruner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Bruner located?
- Jack Bruner's practice location on file with NPPES is 777 N Raymond St, Boise, ID 83704-9251.
- What is Jack Bruner's phone number?
- The practice phone number listed in the NPPES registry for Jack Bruner is (208) 514-2500.
- Does Jack Bruner accept Medicare?
- Jack Bruner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Bruner's NPI active?
- Yes — Jack Bruner's NPI (1578355806) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.