Bruning, Walter O

Bruning, Walter O is an individual health care provider with primary practice located at 11600 Main St , Louisville KY 40243-1318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bruning, Walter O can be contacted via phone (502) 245-4168.

Contact Information

Primary practice address
11600 Main St Louisville KY 40243-1318
Fax: (502) 244-4054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19421 Kentucky

Profile Details

NPI number 1063419901
LBN Legal business name Bruning, Walter O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 8th, 2020 - about 4 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 1063419901 NPPES
Kentucky MEDICAID 64194210

Popular Providers