Individual provider Active NPI

Bruno Aldo Mancini, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1861448052
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 97950 Issued in FL
Practice address
810 N Nowell St
Orlando, FL 32808-7539
Phone
(407) 290-9556
Fax
(407) 290-9509
NPI assigned
May 26, 2006
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 97950 FL Primary

Addresses

Primary practice location

810 N Nowell St
Orlando, FL 32808-7539

Mailing address

121 S Orange Ave
Orlando, FL 32801-3221
Phone (321) 332-6947

Other names 1

  • Dr. Bruno Aldo Mancini Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070912000188 FL Practitioner - Family Practice 2365535978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

216 N Frederick St
Pierson, FL 32180-3024
Phone (386) 202-6025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 97950FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Health Services Inc CurrentSince Aug 10, 2015 Accepting new patients
Northeast Florida Health Services, Inc. Family Medicine Current Accepting new patients
Idelis Fedeslinda Arias de la Torre Family Medicine PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

1205 S Woodland Blvd
Ste 3
Deland, FL 32720

1200 Deltona Blvd
Deltona, FL 32725
Phone (386) 327-6060

1200 Deltona Blvd
Apt 40A
Deltona, FL 32725
Phone (386) 327-6006

216 Frederick St
Pierson, FL 32180
Phone (386) 749-9449

Interoperability endpoints

  • Direct secure messaging: bruno.mancini@nefhs.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1861448052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013221",
            "telephone_number": "321-332-6947",
            "fax_number": "407-657-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "407-290-9556",
            "fax_number": "407-290-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "BRUNO",
        "middle_name": "ALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 97950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUNO",
            "last_name": "MANCINI",
            "middle_name": "ALDO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.