THOMAS BENJ BRUNS M.D. NPI 1649201302

NPI Information

  • NPI: 1649201302
  • Provider Name: THOMAS BENJ BRUNS, M.D.
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 910 BLACKFORD ST
    CHATTANOOGA, TN
    ZIP 37403
  • Phone: (423) 778-6011

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NPI Details

Thomas Benj Bruns, M.D. is a pediatric emergency medicine pediatrics in Chattanooga, TN. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Thomas Benj Bruns, M.D. NPI is 1649201302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

910 BLACKFORD ST
CHATTANOOGA, TN
ZIP 37403-405
Phone: (423) 778-6011
Fax: (865) 539-8008

The NPI 1649201302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/21/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD21711TENNESSEENo
2208000000XPediatricsMD21711TENNESSEENo
32080P0204XPediatricsPediatric Emergency MedicineMD21711TENNESSEEYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13096329MEDICARE PINTENNESSEE
23096329MEDICAIDTENNESSEE
34104896OTHERTENNESSEEBCBS OF TENNESSEE
4F74651MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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