Healthcare Provider Details

I. General information

NPI: 1760304331
Provider Name (Legal Business Name): BRAD ALLAN BRUNER CADCC II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 SALVIO ST STE 101102
CONCORD CA
94520-2193
US

IV. Provider business mailing address

85 CLEAVELAND RD UNIT 400
PLEASANT HILL CA
94523-3753
US

V. Phone/Fax

Practice location:
  • Phone: 925-676-2580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRA1860125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: