Active NPI
Richard Raymond Bruno, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301288
- Practice address
- 2790 Godwin Blvd Ste 355
Suffolk, VA 23434-8173 - Phone
- (757) 983-8520
- Fax
- (757) 579-8646
- NPI assigned
- Apr 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301288 | VA | Primary |
Addresses
Primary practice location
2790 Godwin Blvd Ste 355
Suffolk, VA 23434-8173
Mailing address
2790 Godwin Blvd Ste 355
Suffolk, VA 23434-8173
Phone (757) 983-8520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2790 Godwin Blvd
Suite 355
Suffolk, VA 23434-8173
Phone (757) 983-8520
Hospital & facility affiliations
- Sentara Home Care Services-Suffolk
- Sentara Obici Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 66 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Podiatrist | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2790 Godwin Blvd
Ste 355
Suffolk, VA 23434
Phone (757) 635-0784
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Suffolk, VA
- NPI 1174060214
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1013440569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 GODWIN BLVD STE 355",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348173",
"telephone_number": "757-983-8520",
"fax_number": "757-579-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 GODWIN BLVD STE 355",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348173",
"telephone_number": "757-983-8520",
"fax_number": "757-579-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "RICHARD",
"middle_name": "RAYMOND",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-11",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.