Thomas Ralph Bruno, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Inverness, IL
NPI 1134490485 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1134490485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036039865 (IL)
- Practice address
- 1881 Prestwick Dr
Inverness, IL 60067-4650 - Phone
- (847) 991-0980
- Fax
- (847) 991-0980
- NPI assigned
- Jan 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036039865 | IL | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036039865 | IL | Yes |
Addresses
Primary practice location
1881 Prestwick Dr
Inverness, IL 60067-4650
Mailing address
1881 Prestwick Dr
Inverness, IL 60067-4650
Phone (847) 991-0980
Other providers in Inverness, IL
- Jennifer Bochat
- Valerie A Bond
- Susan Jean Brach
- Bravo Care of Inverness Inc
- Brennan Counseling, P.C.
- Shirley Butler
- Janine Cangialosi
- Celeste Genevieve Counseling, PLLC
- Mingyeong Choe
- Kristen Christensen
All providers in Inverness, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.