Bruni, Ronald T

Bruni, Ronald T is an individual health care provider with primary practice located at 9454 Three Rivers Rd Suite A, Gulfport MS 39503-4294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bruni, Ronald T can be contacted via phone (228) 864-7747.

Contact Information

Primary practice address
9454 Three Rivers Rd Suite A Gulfport MS 39503-4294
Phone: (228) 864-7747
Fax: (228) 864-7415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6702 Mississippi

Profile Details

NPI number 1093819435
LBN Legal business name Bruni, Ronald T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 10th, 2014 - about 11 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 1093819435 NPPES
Mississippi MEDICAID 00014208
Mississippi Other 640935888
Mississippi MEDICAID 09015616
Mississippi MEDICAID 0014208

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