Active NPI
Peter Denis Bruno, MD
- Orthopaedic Surgery Physician
- McLean, VA
National Provider Identifier
1528074192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101031799
- Practice address
- 1499 Chain Bridge Rd
Suite 100
McLean, VA 22101-5704 - Phone
- (703) 442-8301
- Fax
- (703) 790-1773
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101031799 | VA | Primary |
Addresses
Primary practice location
1499 Chain Bridge Rd
Suite 100
McLean, VA 22101-5704
Mailing address
1499 Chain Bridge Rd
Suite 100
McLean, VA 22101-5704
Phone (703) 442-8301
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066932 | Other | VA | ANTHEM BC/BS OF VA |
| 16496 | Other | NCPPO | |
| VA31799 | Other | MUTUAL OF OMAHA | |
| 0004269897 | Other | AETNA PPO | |
| 2479 | Other | DC | BC/BS OF DC |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528074192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 CHAIN BRIDGE RD",
"address_2": "SUITE 100",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221015704",
"telephone_number": "703-442-8301",
"fax_number": "703-790-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 CHAIN BRIDGE RD",
"address_2": "SUITE 100",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221015704",
"telephone_number": "703-442-8301",
"fax_number": "703-790-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "PETER",
"middle_name": "DENIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101031799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS OF VA",
"identifier": "066932",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "16496",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA",
"identifier": "VA31799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "0004269897",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF DC",
"identifier": "2479",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- 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.