Doctor profile · Federal record
Dr. Katherine Bruss, DO
Pediatrics Physician · Pediatrics Physician · Clarksville, TN
- NPI 1720441926
- 10 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
490 Dunlop Ln
Clarksville, TN 370405007
(931) 245-7000 - Additional location
-
13060 Isle Drive
Baxter, MN 56425
(218) 828-2880
fax (218) 454-5916 - Mailing address
-
Po Box 3799
Clarksville, TN 370433799
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- September 20, 2022
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Tennessee #4823 · Minnesota #65373
- Medicaid
- MN #1720441926
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720441926. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$43
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phadia US INC. | 2 | $43.37 |
By nature of payment
Frequently asked questions
What is Dr. Katherine Bruss's medical specialty?
Dr. Katherine Bruss practices Pediatrics Physician in Clarksville, TN.
Where does Dr. Katherine Bruss practice?
Dr. Katherine Bruss practices at 490 Dunlop Ln, Clarksville, TN 370405007. Office phone: 9312457000.
What is Dr. Katherine Bruss's NPI?
Dr. Katherine Bruss's National Provider Identifier (NPI) is 1720441926, issued by NPPES.