Robert J Bruno MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036060840 Issued in IL

Legal business name

ROBERT J BRUNO MDPC

Practice address

4550 Southwest Hwy
Oak Lawn, IL 60453-1842

Phone

(708) 499-5140

Fax

(708) 499-5155

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert J. Bruno, M.D.

Title

President

Phone

(708) 499-5140

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1205060142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531842",
            "telephone_number": "708-499-5140",
            "fax_number": "708-499-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531842",
            "telephone_number": "708-499-5140",
            "fax_number": "708-499-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J BRUNO MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-499-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036060840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060848",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RJB Medical Wellness Associates Inc
• Christian Camilo Roa
• Patrick Steven Robbins, PHARMD
• Nicole Roberson-King, OTR/L
• David Roberson, MD
• Robert T. Egel, M. D., S. C.
• Gabrielle A Roberts, PH.D.
• Patricia A Robey, MA, LPC, NCC
• Robinson & Associates PC
• Angelique J Robinson

• Family Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.