Timothy G Bruni, MD | |
9454 Three Rivers Rd, Suite A, Gulfport, MS 39503-4294 | |
(228) 864-7747 | |
(228) 864-7415 |
Full Name | Timothy G Bruni |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 9454 Three Rivers Rd, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871604611 | NPI | - | NPPES |
09015616 | Medicaid | MS | |
00120712 | Medicaid | MS | |
640935888 | Other | MS | TAX IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15527 (Mississippi) | Primary |
Entity Name | Memorial Hospital At Gulfport |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Timothy G Bruni, MD 9454 Three Rivers Rd, Suite A, Gulfport, MS 39503-4294 Ph: (228) 864-7747 | Timothy G Bruni, MD 9454 Three Rivers Rd, Suite A, Gulfport, MS 39503-4294 Ph: (228) 864-7747 |
Dr. Charles Samms, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1285 Spring St, Ste A, Gulfport, MS 39507 Phone: 228-896-6441 Fax: 228-896-6576 | |
Dr. April Lee Ulmer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 Cowan Rd Ste B, Gulfport, MS 39507 Phone: 228-222-4072 Fax: 222-215-1205 | |
Jonette Scott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 Phone: 228-864-0003 Fax: 228-863-7917 | |
Ronald T Bruni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9454 Three Rivers Rd, Suite A, Gulfport, MS 39503 Phone: 228-864-7747 Fax: 228-864-7415 | |
Dr. Christie Devlin-schroll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8950 Lorraine Rd, Gulfport, MS 39503 Phone: 601-815-2005 Fax: 601-815-0434 | |
Mrs. Christie Ann Thrash, Pediatrics Medicare: Medicare Enrolled Practice Location: 1285 Spring St, Suite A, Gulfport, MS 39507 Phone: 228-896-6441 Fax: 228-896-6576 | |
Dr. Jennifer Anne Caldwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4500 13th Street, Gulfport, MS 39501 Phone: 601-288-3440 Fax: 601-288-3460 |