Active NPI
Leigh Ford Bruner, PHARM. D.
- Pharmacist
- Blakely, GA
National Provider Identifier
1437337151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020815
- Practice address
- 90 Court SQ
Blakely, GA 39823-2340 - Phone
- (229) 723-3441
- Fax
- (229) 723-8707
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020815 | GA | Primary |
Addresses
Primary practice location
90 Court SQ
Blakely, GA 39823-2340
Mailing address
1330 Indian Mounds Rd
Blakely, GA 39823-4407
Phone (229) 724-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020815 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blakely Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1437337151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 INDIAN MOUNDS RD",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398234407",
"telephone_number": "229-724-2190",
"fax_number": "229-723-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 COURT SQ",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232340",
"telephone_number": "229-723-3441",
"fax_number": "229-723-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "LEIGH",
"middle_name": "FORD",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blakely, GA
- Christina Marie Bridges
- Brooks Dental Associates
- Brooks Dental Associates, Inc
- Charles Paschal Brooks Jr., D.M.D.
- Kay Newberry Brooks, L.P.C.
- Calhoun County Dept of Family & Children Services
- Lakeisha Cannon-Scott, APRN, PMHNP
- Careplus Medical Services LLC
- Robert Allan Cibiras, PA-C
- Glendell B. Coleman, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.