Active NPI
Bruno Oscar Denis, MD
- Family Medicine Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 026502
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026502 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Reid Emergency Group, PC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Madison, GA
- NPI 1770193419
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1659872497
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Emergency Medicine Physician
- Eastman, GA
- NPI 1811176795
-
- Emergency Medicine Physician
- Fort Valley, GA
- NPI 1730348178
-
- Urgent Care Clinic/Center
- Royston, GA
- NPI 1093847444
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.