Individual provider Active NPI

Bruno Nathaniel Latunde' Cole, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Princeton, NJ
National Provider Identifier
1073532842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25MA04022200 Issued in NJ
Practice address
707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331
Phone
(609) 919-0303
Fax
(609) 919-0008
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA04022200 NJ Primary

Addresses

Primary practice location

707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331

Mailing address

707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331
Phone (609) 919-0303

Other identifiers 1

IdentifierTypeStateIssuer
6398804MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000907 NJ Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0143268912 Practice locations: Princeton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331
Phone (609) 919-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Primary and Urgent Care Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073532842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ALEXANDER RD",
            "address_2": "SUITE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406331",
            "telephone_number": "609-919-0303",
            "fax_number": "609-919-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ALEXANDER RD",
            "address_2": "SUITE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406331",
            "telephone_number": "609-919-0303",
            "fax_number": "609-919-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "BRUNO",
        "middle_name": "NATHANIEL LATUNDE'",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA04022200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6398804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.