DR. JENNIFER DANIELLE BRUENING (M.D.) – Otolaryngology Physician, NPI 1215375027

DR. JENNIFER DANIELLE BRUENING (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 76022 (WI). The NPI Number for DR. JENNIFER DANIELLE BRUENING (M.D.) is 1215375027

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER DANIELLE BRUENING (M.D.)
NPI
1215375027
Phone
(503) 494-8510
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
13 June 2013
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
4148053666
Graduation Year
2013 (13 years ago)
PAC ID
7416282736
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20211013001372
Address ID
WI532263548MI8701XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

182 OTOLARYNGOLOGY in OR

Provider Addresses for DR. JENNIFER DANIELLE BRUENING (M.D.)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-8510

    Fax: (503) 494-4631

    Type: Mailing

  • 9200 W WISCONSIN AVE

    MILWAUKEE, WI 532263522

    Phone: (414) 805-3666

    Type: Location

  • 2104 N PALMER ST

    MILWAUKEE, WI 532123220

    Phone: (612) 799-1392

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2023-07-01 • Largest payer in this snapshot: Cook Medical LLC ($44).

Total Amount

$44

General + Research + Ownership

Payments

1

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cook Medical LLC$44
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211013001372IOtolaryngologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6235$0
31575Diagnostic exam of voice box using a flexible endoscope3833$0
99205New patient office or other outpatient visit, 60-74 minutes3636$0
99214Established patient office or other outpatient visit, 30-39 minutes2214$0
99215Established patient office or other outpatient visit, 40-54 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668384371View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JENNIFER DANIELLE BRUENING (M.D.)?
DR. JENNIFER DANIELLE BRUENING (M.D.) — NPI 1215375027 — is the standard way to identify this listing.
Is DR. JENNIFER DANIELLE BRUENING (M.D.) still practicing?
DR. JENNIFER DANIELLE BRUENING (M.D.) is currently listed as active in the public NPI registry.
What is DR. JENNIFER DANIELLE BRUENING (M.D.)'s primary classification?
Otolaryngology Physician is the headline specialty for DR. JENNIFER DANIELLE BRUENING (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. JENNIFER DANIELLE BRUENING (M.D.) serve?
DR. JENNIFER DANIELLE BRUENING (M.D.)'s listing highlights Portland, Oregon; more addresses can appear in NPPES.
Why does DR. JENNIFER DANIELLE BRUENING (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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