Individual provider Active NPI

Christopher J Bruno, MD

  • Infectious Disease Physician
  • Philadelphia, PA
National Provider Identifier
1609920974
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD422247 Issued in PA
Practice address
1427 Vine St
2ND FL
Philadelphia, PA 19102-1031
Phone
(215) 762-2530
NPI assigned
Jan 23, 2007
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD422247 PA Primary
Internal Medicine Physician 207R00000X MD422247 PA

Addresses

Primary practice location

1427 Vine St
2ND FL
Philadelphia, PA 19102-1031

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040803001313 PA Practitioner - Infectious Disease 8123099181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Columbia University College of Physicians and Surgeons, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Practice addresses (Care Compare)

1427 Vine St
Philadelphia, PA 19102-1031

1427 Vine St
FL 5
Philadelphia, PA 19102-1003
Phone (215) 762-2530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD422247PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Main Line Healthcare Internal Medicine PastSince Jul 1, 2008 Accepting new patients
Drexel University Past Accepting new patients

Locations

136 Diamond St
#C
Philadelphia, PA 19122
Phone (215) 426-8100

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070

Interoperability endpoints

  • Direct secure messaging: cbruno18856@drexel.gardenplot.direct-ci.com

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1609920974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021320",
            "telephone_number": "215-255-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 VINE ST",
            "address_2": "2ND FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021031",
            "telephone_number": "215-762-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD422247",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD422247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.