CHARLES EUGENE BRUSO (NPI# 1114104981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114104981 |
| Entity Type | Individual |
| Full Name | CHARLES EUGENE BRUSO |
| Credential | M.D. |
| Practice Address |
2755 Silver Creek Rd Suite 115 Bullhead City AZ 86442-7904 |
| Practice Telephone | 9287633600 |
| Practice Fax Number | 9287635700 |
| Mailing Telephone | 9287633600 |
| Mailing Fax Number | 9287635700 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
23430 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2755 SILVER CREEK RD SUITE 115 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526562 | Nadim B Khatib | Family Medicine | 2755 Silver Creek Rd, Suite 109, Bullhead City, AZ 86442-7904 | 2006-04-10 |
| 1588112049 | Dylan Samual Caliva | Physical Therapist | 2755 Silver Creek Rd, Bullhead City, AZ 86442-7904 | 2016-09-13 |
| 1518264829 | Tri-state Radiation Oncology, Inc. | Clinic/Center | 2755 Silver Creek Rd, Suite 115, Bullhead City, AZ 86442-7904 | 2011-02-22 |
| 1528251667 | Khatib Family Practice Plc | Family Medicine | 2755 Silver Creek Rd, Suite 109, Bullhead City, AZ 86442-7904 | 2007-08-22 |
| 1356542112 | Malik Tariq Rahim | Internal Medicine | 2755 Silver Creek Rd, Suite 217, Bullhead City, AZ 86442-7904 | 2007-05-30 |
| 1144383423 | Arizona Pathology Group Inc. | Clinical Medical Laboratory | 2755 Silver Creek Rd, Suite 203, Bullhead City, AZ 86442-7904 | 2006-12-18 |
| 1184651580 | Jonathan M Brown | Otolaryngology | 2755 Silver Creek Rd, Bullhead City, AZ 86442 | 2006-06-28 |
| 1700830601 | Leroy Carter Smith | Family Medicine | 2755 Silver Creek Rd, Suite 111, Bullhead City, AZ 86442-7904 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383701 | Alliance Oncology of Arizona, LLC | Radiology | 21300 N John Wayne Pkwy Ste 116, Maricopa, AZ 85139-8978 | 2020-10-12 |
| 1902305899 | Sonoran Skin Cancer Treatment Centers, LLC | Radiology | 1425 Greenfield Road, Mesa, AZ 85206 | 2018-02-06 |
| 1811307333 | Joshua R Niska | Radiology | Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2014-05-06 |
| 1053731356 | Andrew Orton | Radiology | 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 | 2014-04-24 |
| 1346668514 | Ashley Ann Albert | Radiology | 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 | 2014-04-03 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1366726788 | Vershalee Shukla | Radiology | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2011-10-04 |
| 1194988204 | David Thomas Vonk | Radiology | 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 | 2008-07-08 |
| 1679767768 | Simul D Parikh | Radiology | Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2007-08-31 |
| 1457561086 | Kurt Andrew Wharton | Radiology | 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.