JAMES E BRUNS OD A PROFESSIONAL NPI 1306112362

NPI Information

JAMES E BRUNS OD A PROFESSIONAL is a point of service in Rohnert Park, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. JAMES E BRUNS OD A PROFESSIONAL NPI is 1306112362. The provider is registered as an organization entity type.

The provider's business location address is:

6180 STATE FARM DR
ROHNERT PARK, CA
ZIP 94928-135
Phone: (707) 584-7294
Fax: (707) 584-4728

The provider's authorized official is Leslie C Bordi .
The authorized official title is Office Manager and has the following contact phone number (707) 584-7294.

The enumeration date for this NPI number is 3/23/2012 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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