Mr Geoffrey Kevin Bruno Sr, is a
Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Katy, Texas. Mr Geoffrey Kevin Bruno Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
21203 Park Valley Dr, Katy, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 563-0768.
NPI number for Mr Geoffrey Kevin Bruno Sr is 1982140745 and his current mailing address is 21203 Park Valley Dr, Katy, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982140745.
Healthcare Provider's Profile
| Full Name | Mr Geoffrey Kevin Bruno Sr |
|---|
| Gender | Male |
|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|
| Location | 21203 Park Valley Dr, Katy, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982140745
- Provider Enumeration Date: 01/17/2017
- Last Update Date: 08/18/2020
Medical Identifiers
Medical identifiers for Mr Geoffrey Kevin Bruno Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982140745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Secondary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Geoffrey Kevin Bruno Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Geoffrey Kevin Bruno Sr,
21203 Park Valley Dr,
Katy, TX 77450-4820
Ph: (210) 563-0768 | Mr Geoffrey Kevin Bruno Sr,
21203 Park Valley Dr,
Katy, TX 77450-4820
Ph: (210) 563-0768 |
Reviews and Comments