Active NPI
Angel L. Bruno, M.D.
- Family Medicine Physician
- Bushnell, FL
National Provider Identifier
1881713600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME99332
- Practice address
- 212 S Florida St
Bushnell, FL 33513-6703 - Phone
- (352) 793-2441
- Fax
- (352) 793-3282
- NPI assigned
- Mar 29, 2007
- Last updated
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME99332 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME99332 | FL | |
| General Practice Physician | 208D00000X | 10467 | PR | |
| General Practice Physician | 208D00000X | 21287 | OK |
Addresses
Primary practice location
212 S Florida St
Bushnell, FL 33513-6703
Mailing address
212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University Central del Caribe Escuela de Medicina, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10467 | PR | MD | Clinical Social Worker |
| ME99332 | FL | MD | Internal Medicine Physician |
| 21287 | OK | MD | General Practice Physician |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Bushnell, FL
- NPI 1629278882
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crystal River Health & Rehabilitation Center
- Skilled Nursing Facility
- Crystal River, FL
- NPI 1396790622
Nursing home
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1881713600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 S FLORIDA ST",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335136703",
"telephone_number": "352-793-2441",
"fax_number": "352-793-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S FLORIDA ST",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335136703",
"telephone_number": "352-793-2441",
"fax_number": "352-793-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "ANGEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME99332",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME99332",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "10467",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "21287",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bushnell, FL
- Blessed at Home LLC
- Mary Hyacinth Bodenheimer, NURSE PRACTITIONER-C
- Ronnie-Jane Boekema, ARNP
- Allison Bootz, MS, LAT, ATC
- Eleanor A Bower, LCSW
- Bushnell Family and Cosmetic Dentistry PLLC
- Byt Enterprise LLC
- Carefirst Aco, LLC (Premier Healthcare Systems)
- Judy R Carelock
- Carlos Enrique Carranza, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.