Edwin Jay Bruno, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

184 Issued in ME

Practice address

277 State St
Ste 1B
Bangor, ME 04401-5440

Phone

(207) 942-3988

Fax

(207) 942-3989

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477556652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "address_2": "SUITE 1B",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015439",
            "telephone_number": "207-942-3988",
            "fax_number": "207-942-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "address_2": "STE 1B",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015440",
            "telephone_number": "207-942-3988",
            "fax_number": "207-942-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "EDWIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "2654",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisa Brozman, MD
• Bridget I Brozyna, FNP-C
• Bruce Green
• Sharon Jeanne Bruce, L.C.S.W
• Elsbeth L Brundage, LCPC
• Bruns Inc.
• Deeette C Bruns, MT
• Richard M. Bruns, D.C.
• Autumn A Bruschi, RPH
• Brenda B. Bryant, LCSW

• Podiatrist in Bangor, ME
• Providers in Bangor, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.