# BRUSO MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Coast Physical Medicine Group, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619776259
- **Authorized official:** DR. JESSICA ROSE BRUSO DO (OWNER/PRESIDENT)
- **Authorized official phone:** (707) 791-5835

## Contact information

- **Practice address:** 990 SONOMA AVE STE 3, SANTA ROSA, CA 95404-4813
- **Practice address phone:** (707) 225-3535
- **Mailing address:** 990 SONOMA AVE STE 3, SANTA ROSA, CA 95404-4813
- **Mailing address phone:** (707) 225-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 03/07/2025