Active NPI
Michael D Bruno DO PA
- Internal Medicine Physician
- Largo, FL
National Provider Identifier
1730375254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS8297
- Legal business name
- MICHAEL D BRUNO DO PA
- Practice address
- 13131 66TH St
Largo, FL 33773-1812 - Phone
- (727) 572-0064
- Fax
- (727) 572-0164
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannine Sheree Duncan
- Title
- Office Manager
- Phone
- (727) 572-0154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS8297 | FL | Primary |
Addresses
Primary practice location
13131 66TH St
Largo, FL 33773-1812
Mailing address
13131 66TH St
Largo, FL 33773-1812
Phone (727) 572-0064
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225238400000",
"number": "1730375254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13131 66TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337731812",
"telephone_number": "727-572-0064",
"fax_number": "727-572-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13131 66TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337731812",
"telephone_number": "727-572-0064",
"fax_number": "727-572-0164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D BRUNO DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2008-10-29",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "JEANNINE",
"authorized_official_middle_name": "SHEREE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "727-572-0154"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS8297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.