Organization Active NPI

Dieter Bruno MD Inc

  • Urology Physician
  • Redwood City, CA
National Provider Identifier
1972901502
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A96007 Issued in CA
Legal business name
DIETER BRUNO MD INC
Practice address
1073 Eden Bower LN
Redwood City, CA 94061-1821
Phone
(650) 257-7257
NPI assigned
Dec 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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

Authorized official

Name
Dr. Dieter Bruno, M.D.
Title
President
Phone
(650) 257-7257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A96007 CA Primary

Addresses

Primary practice location

1073 Eden Bower LN
Redwood City, CA 94061-1821

Mailing address

2900 Whipple Ave
Suite 132
Redwood City, CA 94062-2843
Phone (650) 257-7257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418428800000",
    "number": "1972901502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "SUITE 132",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622843",
            "telephone_number": "650-257-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 EDEN BOWER LN",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611821",
            "telephone_number": "650-257-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETER BRUNO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "DIETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-257-7257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A96007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.