Dante De Los Santos Bruno, MD is a
General Practice physician based in South Boston, Virginia. Dante De Los Santos Bruno is licensed to practice in Virginia (license number 53781) and his current practice location is 1020 Bill Tuck Hwy, Ste 900, South Boston, Virginia. He can be reached at his office (for appointments etc.) via phone at
(484) 575-7555.
NPI number for Dante De Los Santos Bruno is 1700886298 and his current mailing address is 1020 Bill Tuck Hwy, Ste 900, South Boston, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700886298.
Physician's Profile
Full Name | Dante De Los Santos Bruno |
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Gender | Male |
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Speciality | General Practice |
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Location | 1020 Bill Tuck Hwy, South Boston, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700886298
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 07/07/2010
Medical Identifiers
Medical identifiers for Dante De Los Santos Bruno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700886298 | NPI | - | NPPES |
324615 | Other | VA | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 53781 (Virginia) | 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. Dante De Los Santos Bruno 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 |
Dante De Los Santos Bruno, MD 1020 Bill Tuck Hwy, Ste 900, South Boston, VA 24592-7136 Ph: (484) 575-7555 | Dante De Los Santos Bruno, MD 1020 Bill Tuck Hwy, Ste 900, South Boston, VA 24592-7136 Ph: (484) 575-7555 |
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