Bruner, Harlan Jason

Bruner, Harlan Jason is an individual health care provider with primary practice located at 2142 W Broad St Building 100, Ste 200, Athens GA 30606-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bruner, Harlan Jason can be contacted via phone (706) 548-6881.

Contact Information

Primary practice address
2142 W Broad St Building 100, Ste 200 Athens GA 30606-3506
Fax: (706) 546-0821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 234690 New York
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 64902 Georgia

Profile Details

NPI number 1487826079
LBN Legal business name Bruner, Harlan Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Jun 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487826079 NPPES
Georgia MEDICAID 003106211A

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