Bruni, Timothy G

Bruni, Timothy G 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, Timothy G 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15527 Mississippi

Profile Details

NPI number 1871604611
LBN Legal business name Bruni, Timothy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 22nd, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871604611 NPPES
Mississippi MEDICAID 09015616
Mississippi MEDICAID 00120712
Mississippi Other 640935888

Popular Providers