Peter J Bruzzo, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102037063 Issued in VA

Practice address

Carrol & Tate Streets
Lebanon, VA 24266

Phone

(276) 883-8000

Fax

(276) 889-4336

NPI assigned

Jan 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russell County Medical Center Inc

  dba Russell County ER Dept

  • Emergency Medicine Physician
  • Lebanon, VA
  • NPI 1801099197
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Sparta, NC
  • NPI 1750330387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033199633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARROL & TATE STREETS",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-883-8000",
            "fax_number": "276-889-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARROL & TATE STREETS",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-883-8000",
            "fax_number": "276-889-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZZO",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102037063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Medical Managment Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Mangement Corporation (DBA Pinnacle Surgical Care)
• Brittany L Boardwine, LDO
• Ramona L Boyd, NP
• Lisa Marie Brooks, MS CCC SLP
• Amy Amanda Bryant, DO
• Rebekah Jo Burkett, PT, DPT
• Candy Lynn Bush, FNP-BC
• Kelsey Cherie Bush, OTR/L
• Michael D Bush, LPC

• Family Medicine Physician in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.