Active NPI
Joseph Chris Bruno Jr.
- Internal Medicine Physician
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101267269
- Practice address
- 2800 Godwin Blvd FL 1
Suffolk, VA 23434 - Phone
- (757) 934-4821
- Fax
- (757) 934-4276
- NPI assigned
- Mar 22, 2016
- Last updated
- Aug 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0101267269 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0101267269 | VA | Primary |
Addresses
Primary practice location
2800 Godwin Blvd FL 1
Suffolk, VA 23434
Mailing address
2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038
Phone (757) 934-4821
Other practice location 1
904 Cleary Ave
Metairie, LA 70001-3719
Phone (312) 520-4719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2414399 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Louisiana State University School of Medicine in New Orleans, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 363-6850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101267269 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2800 Godwin Blvd
Fl 1
Suffolk, VA 23434
Phone (757) 934-4821
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1902268873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD FL 1",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348038",
"telephone_number": "757-934-4821",
"fax_number": "757-934-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD FL 1",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-934-4821",
"fax_number": "757-934-4276"
}
],
"practiceLocations": [
{
"address_1": "904 Cleary Ave",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700013719",
"country_code": "US",
"telephone_number": "312-520-4719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "JOSEPH",
"middle_name": "CHRIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101267269",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101267269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2414399",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.