- Practice location
- 915 NE 7TH St Ste 1, Bend, OR 97701-4515
- Phone
- 541-728-0974
- Fax
- 541-728-0159
- Last updated
- July 1, 2025
Ethan Bruno is a Physical Therapist based in Bend, OR. Ethan Bruno practices in Bend, OR and has the professional credentials of DPT. The NPI Number for Ethan Bruno is 1790674901 and holds a License No. 65774 (OR). The current practice location address for Ethan Bruno is 915 NE 7TH St Ste 1, Bend, OR 97701-4515 and can be reached out via phone at 541-728-0974 and via fax at 541-728-0159.
Provider Profile Details
- NPI Number
- 1790674901
- Provider Name
- Ethan Bruno
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 915 NE 7TH St Ste 1, Bend, OR 97701-4515
- Phone Number
- 541-728-0974
- Fax Number
- 541-728-0159
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 1, 2025
- Last Update Date
- July 1, 2025
- Certification Date
- July 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 915 NE 7TH St Ste 1
Bend, OR 97701-4515 - City
- Bend
- State
- Oregon
- Zip
- 97701-4515
- Phone Number
- 541-728-0974
- Fax Number
- 541-728-0159
Provider Business Mailing Address Details
- Address
- 915 NE 7TH St Ste 1
Bend, OR 97701-4515 - City
- Bend
- State
- OR
- Zip
- 97701-4515
- Phone Number
- 541-728-0974
- Fax Number
- 541-728-0159
License Information
- License Number
- 65774
- License State
- OR
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ethan Bruno, DPT?
The NPI number of Ethan Bruno, DPT is 1790674901. It was assigned on July 1, 2025 and is currently active in the NPPES registry.
What is the specialty of Ethan Bruno, DPT?
Ethan Bruno, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 65774.
Where does Ethan Bruno, DPT practice?
The practice location is 915 NE 7TH St Ste 1, Bend, OR 97701-4515. The office can be reached at 541-728-0974 (phone) or 541-728-0159 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790674901 directly on the NPPES registry website.