Active NPI
Raymond Bruno, D.O.
- Rehabilitation Practitioner
- Bethlehem, PA
National Provider Identifier
1447213228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- OS005524L
- Practice address
- 3400 Bath Pike
Suite 400
Bethlehem, PA 18017-2466 - Phone
- (610) 954-9400
- Fax
- (610) 954-0333
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | OS005524L | PA | Primary |
Addresses
Primary practice location
3400 Bath Pike
Suite 400
Bethlehem, PA 18017-2466
Mailing address
5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641
Phone (570) 344-3788
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4499269 | Other | PA | AETNA |
| 20049224 | Other | PA | AMERIHEALTH |
| BK471156 | Other | PA | HIGHMARK BLUE SHIELD |
| P00341150 | Other | PA | RAILROAD MEDICARE |
| 0022571000 | Other | PA | KEYSTONE EAST |
| 41672-1067 | Other | PA | GEISINGER |
| 819779 | Other | PA | BLUE CARE (FIRST PRIORITY |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005524L | PA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1447213228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MORGAN HWY",
"address_2": "SUITE 4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082641",
"telephone_number": "570-344-3788",
"fax_number": "570-969-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BATH PIKE",
"address_2": "SUITE 400",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180172466",
"telephone_number": "610-954-9400",
"fax_number": "610-954-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "PA",
"license": "OS005524L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4499269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "20049224",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "BK471156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00341150",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0022571000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "41672-1067",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE (FIRST PRIORITY",
"identifier": "819779",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.