Active NPI
Patrick Bruno, MD
- Addiction Medicine (Internal Medicine) Physician
- Richmond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 35096568
- Practice address
- 4265 S a St
Richmond, IN 47374-6049 - Phone
- (765) 962-8843
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.096568 | OH | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 35096568 | OH | Primary |
Addresses
Primary practice location
4265 S a St
Richmond, IN 47374-6049
Mailing address
3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 417-6166
Other practice location 1
140 Fox Rd
suite 102
Van Wert, OH 45891-2475
Phone (419) 238-3047
Other practice location 2
3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 417-6166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34165000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.096568 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Current | Accepting new patients | |
| Richmond Treatment Center, LLC | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
4265 S A St
Richmond, IN 47374
Phone (765) 962-8843
202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327
3500 Carnegie Ave
Cleveland, OH 44115
Phone (440) 260-8327
1624 Tiffin Ave
Ste D
Findlay, OH 45840
Phone (419) 422-7800
885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050
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 and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Berea, OH
- NPI 1609123728
-
- Methadone Clinic
- Richmond, IN
- NPI 1003969767
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
-
- Family Medicine Physician
- Lorain, OH
- NPI 1487452603
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1639170509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 LEE RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441205122",
"telephone_number": "216-417-6166",
"fax_number": "216-417-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 S A ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473746049",
"telephone_number": "765-962-8843"
}
],
"practiceLocations": [
{
"address_1": "140 Fox Rd",
"address_2": "suite 102",
"address_purpose": "LOCATION",
"city": "Van Wert",
"state": "OH",
"postal_code": "458912475",
"country_code": "US",
"telephone_number": "419-238-3047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Lee Rd",
"address_purpose": "LOCATION",
"city": "Shaker Heights",
"state": "OH",
"postal_code": "441205122",
"country_code": "US",
"telephone_number": "216-417-6166",
"fax_number": "216-417-8676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.096568",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "OH",
"license": "35096568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34165000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.