| Joseph A. Bruno Md, Pc | |
|
6010 Gull Rd Kalamazoo MI 49048-9452 | |
| (269) 385-4671 | |
| (269) 385-2657 |
| Full Name | Joseph A. Bruno Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6010 Gull Rd, Kalamazoo, Michigan |
| Authorized Official Name and Position | Ron Thomas Anglin (OFFICE MANAGER) |
| Authorized Official Contact | 2693854671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A. Bruno Md, Pc 6010 Gull Road Kalamazoo MI 49048-9452 Ph: (269) 385-4671 | Joseph A. Bruno Md, Pc 6010 Gull Rd Kalamazoo MI 49048-9452 Ph: (269) 385-4671 |
| NPI Number | 1346453396 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 05/02/2008 |
| Medicare PECOS PAC ID | 2466425236 |
|---|---|
| Medicare Enrollment ID | O20040818001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346453396 | NPI | - | NPPES |
| 2674024 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | JB033841 (Michigan) | Primary |
| Provider Name | Joseph A Bruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487658746 PECOS PAC ID: 4981677754 Enrollment ID: I20040827000091 |
| Provider Name | Lori A Cupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427498682 PECOS PAC ID: 6901040435 Enrollment ID: I20130923000523 |
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