Bruno, Gregory Carl

Bruno, Gregory Carl is an individual health care provider with primary practice located at 620 Skyline Drive , Jackson TN 38301-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bruno, Gregory Carl can be contacted via phone (731) 541-6174.

Contact Information

Primary practice address
620 Skyline Drive Jackson TN 38301-3901
Phone: (731) 541-6174
Fax: (731) 541-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38350 Tennessee

Profile Details

NPI number 1518934215
LBN Legal business name Bruno, Gregory Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 27th, 2017 - about 8 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 1518934215 NPPES
Other 4102695 BCBS
MEDICAID 3893873 BCBS
Other 4084444 BCBS
MEDICAID 3893872 BCBS
MEDICAID 3893874 BCBS
Other P00109823 BCBS

Popular Providers