Organization Active NPI

Joseph a. Bruno MD, PC

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1346453396
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JB033841 Issued in MI
Legal business name
JOSEPH A. BRUNO MD, PC
Practice address
6010 Gull Rd
Kalamazoo, MI 49048-9452
Phone
(269) 385-4671
Fax
(269) 385-2657
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Ron Thomas Anglin
Title
Office Manager
Phone
(269) 385-4671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X JB033841 MI Primary

Addresses

Primary practice location

6010 Gull Rd
Kalamazoo, MI 49048-9452

Mailing address

6010 Gull Road
Kalamazoo, MI 49048-9452
Phone (269) 385-4671

Other identifiers 1

IdentifierTypeStateIssuer
2674024MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1346453396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 GULL ROAD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490489452",
            "telephone_number": "269-385-4671",
            "fax_number": "269-385-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490489452",
            "telephone_number": "269-385-4671",
            "fax_number": "269-385-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. BRUNO MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-385-4671"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JB033841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2674024",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.