Individual provider Active NPI

Bruno Oscar Denis, MD

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1679519235
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
026502 Issued in GA
Practice address
1061 Dowdy Rd
Suite 101
Athens, GA 30606-5700
Phone
(706) 621-7575
Fax
(706) 621-7557
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 026502 GA
Family Medicine Physician 207Q00000X 026502 GA Primary

Addresses

Primary practice location

1061 Dowdy Rd
Suite 101
Athens, GA 30606-5700

Mailing address

PO Box 529
Royston, GA 30662-0529
Phone (706) 621-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040715000126 GA Practitioner - Emergency Medicine 2961481866 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026502GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Emergency Group, PC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Jan 1, 2006 Accepting new patients
Reid Emergency Group, PC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Peach Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Reddy Urgent Care - Royston LLC Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients
Dodge County Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Hartwell Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

521 Franklin Springs St
Royston, GA 30662
Phone (704) 245-1253

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1679519235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306620529",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD",
            "address_2": "SUITE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIS",
        "first_name": "BRUNO",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "026502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "026502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.