JOHN S. BRUNO M.D. P.A. NPI 1790066967

NPI Information

NPI: 1790066967
Provider Name: JOHN S. BRUNO, M.D., P.A.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
2685 SWAMP CABBAGE CT
FORT MYERS, FL
ZIP 33901
Phone: (239) 936-2522
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JOHN S. BRUNO, M.D., P.A. is a plastic and reconstructive surgery surgery in Fort Myers, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. JOHN S. BRUNO, M.D., P.A. NPI is 1790066967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2685 SWAMP CABBAGE CT
FORT MYERS, FL
ZIP 33901-331
Phone: (239) 936-2522
Fax: (239) 936-7831

The provider's authorized official is John S. Bruno .
The authorized official title is President and has the following contact phone number (239) 936-2522.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 9/1/2011.

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
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	ME13183	FLORIDA	Yes

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
1	242907206	OTHER	FLORIDA	MEDICARE RAILROAD
2	D58416	MEDICARE UPIN	FLORIDA
3	15670	OTHER	FLORIDA	WELLCARE
4	78251	OTHER	FLORIDA	MEDICARE
5	055527400	MEDICAID	FLORIDA

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: 11/14/2023

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