Charles Eugene Bruso, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

23430 Issued in AZ

Practice address

2755 Silver Creek Rd
Suite 115
Bullhead City, AZ 86442-7904

Phone

(928) 763-3600

Fax

(928) 763-5700

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Medicine

Interoperability endpoints

• Direct secure messaging: cbruso@yourcarecommunity.org

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1114104981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD",
            "address_2": "SUITE 115",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427904",
            "telephone_number": "928-763-3600",
            "fax_number": "928-763-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD",
            "address_2": "SUITE 115",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427904",
            "telephone_number": "928-763-3600",
            "fax_number": "928-763-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSO",
        "first_name": "CHARLES",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "23430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Wilmoth Bristol Jr., ERNEST BRISTOL
• Fionda Williams Brock, DN, MS, MSN, RN
• Kevin Frank Brown, D.O.
• Kristen Brown
• Meredith Lynn Brumfield, COTA/L
• Ryan Sabado Buenaventura, PHARMD
• Clayson J Bufton, RN, CRNA
• Bullhead City Clinic Corp
• Bullhead City Dentistry LLC
• Bullhead City Elementary

• Radiation Oncology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.