Robert William Bruno, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

042032 Issued in NY

Practice address

68-03 41 Ave
Woodside, NY 11377-3800

Phone

(718) 565-7242

Fax

(718) 565-7163

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487678793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-03 41 AVENUE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773800",
            "telephone_number": "718-565-7242",
            "fax_number": "718-565-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-03 41 AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773800",
            "telephone_number": "718-565-7242",
            "fax_number": "718-565-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "042032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bjorn G Brogle, LMSW
• David Aaron Brown, LMSW
• Wendy Cesarina Brown, LCSW
• Bruce E. Katz, MD, PC (Juva Skin and Laser Center)
• Charlotte Grafil Brun, DPT
• Susan Bukala
• Stefanie Burgio
• Chelsey Marie Burgos
• Whitney A Burke, MSPT
• Joy M Burns, COTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodside, NY
• Providers in Woodside, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.