John S. Bruno, M.D., P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME13183 Issued in FL

Legal business name

JOHN S. BRUNO, M.D., P.A.

Practice address

2685 Swamp Cabbage CT
Fort Myers, FL 33901-9331

Phone

(239) 936-2522

Fax

(239) 936-7831

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John S. Bruno, M.D.

Title

President

Phone

(239) 936-2522

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1790066967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 SWAMP CABBAGE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019331",
            "telephone_number": "239-936-2522",
            "fax_number": "239-936-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 SWAMP CABBAGE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019331",
            "telephone_number": "239-936-2522",
            "fax_number": "239-936-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. BRUNO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME13183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "15670",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "242907206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "78251",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055527400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caroline Johns, M.D
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• Carrie Lynn Johnson, MS, NCC, LMHC

• Plastic and Reconstructive Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.