Individual provider Active NPI

Bruno Petinaux, MD

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1558347930
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD32926 Issued in DC
Practice address
900 23Rd St NW
Washington, DC 20037-2342
Phone
(202) 715-4000
NPI assigned
Dec 19, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD32926 DC Primary
Emergency Medicine Physician 207P00000X D0058996 MD
Emergency Medicine Physician 207P00000X VA

Addresses

Primary practice location

900 23Rd St NW
Washington, DC 20037-2342

Mailing address

2150 Pennsylvania Ave NW
Floor 2B, Burns BLDG
Washington, DC 20037-3201
Phone (202) 741-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000871 DC Practitioner - Emergency Medicine 6305034562 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058996MDMDEmergency Medicine Physician
010228867VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foggy Bottom Hospital Physicians LLC CurrentSince Feb 1, 2026 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Jul 1, 2000 Accepting new patients
Foggy Bottom Primary Care Physicians LLC CurrentSince Feb 1, 2026 Accepting new patients
Foggy Bottom Physician Group Inc. CurrentSince Sep 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422

2150 Pennsylvania Ave NW
Fl 2B
Washington, DC 20037

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

Organizations & group practices 5

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558347930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "FLOOR 2B, BURNS BLDG",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-2911",
            "fax_number": "202-741-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETINAUX",
        "first_name": "BRUNO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD32926",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0058996",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.