DR. JOHN BRUNO (NPI# 1629130430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629130430 |
| Entity Type | Individual |
| Full Name | DR. JOHN BRUNO |
| Credential | DDS, MS |
| Practice Address |
6120 Brandon Ave Ste 211 Springfield VA 22150-2504 |
| Practice Telephone | 7036444100 |
| Practice Fax Number | 7034514419 |
| Mailing Telephone | 7036444100 |
| Mailing Fax Number | 7034514419 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401003460 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588744569 | John Salvatore Bruno | Surgery | 2685 Swamp Cabbage Ct, Fort Myers, FL 33901-9331 | 2006-10-16 |
| 1558856120 | John A Bruno | Social Worker | 5820 Little Neck Pkwy, Little Neck, NY 11362-2530 | 2018-06-26 |
| 1376063537 | John Bruno Jr. | Emergency Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-1000 | 2017-06-20 |
| 1063810786 | John Bruno | Counselor | 31 E Montauk Hwy, Hampton Bays, NY 11946-1816 | 2014-12-11 |
| 1134429103 | John Christopher Bruno | Chiropractor | 3767 Lake Worth Rd, Suite 103, Lake Worth, FL 33461-4048 | 2010-10-25 |
| 1629286695 | John P Bruno | Pediatrics | 1736 W Hamilton St, Allentown, PA 18104-5656 | 2007-05-21 |
| 1962618603 | John Gerard Bruno | Pharmacist | Stony Brook University Hospital, Nicolls Road, Stony Brook, NY 11794-0001 | 2007-05-16 |
| 1447378401 | John James Bruno II | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2007-03-27 |
| 1386711331 | John Charles Bruno | Dentist | 3 Valley Rd, Plymouth Meeting, PA 19462 | 2006-11-28 |
| 1568537389 | John Andrew Bruno Jr. | Orthopaedic Surgery | 5845 Richmond Hwy, Suite 400, Alexandria, VA 22303-1865 | 2006-11-21 |
| Street Address |
6120 BRANDON AVE STE 211 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1487975231 | Anthony T Quinta | Dentist | 1795 Main St Ste 202, Springfield, MA 01103-1015 | 2010-06-16 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1346373347 | Jody Brian Vance | Dentist | 3331 E Montclair St Ste G, Springfield, MO 65804-4786 | 2007-03-13 |
| 1952472011 | Timothy Brian Coffelt | Dentist | 301 N Fountain Ave, Springfield, OH 45504-2536 | 2006-11-12 |
| 1063424638 | Bruce S Wyman | Dentist | 6116 Rolling Road, Suite 312, Springfield, VA 22152-1512 | 2006-08-12 |
| 1295743318 | Brad Reese Burks | Dentist | 1355 E Bradford Pkwy Ste D, Springfield, MO 65804-4200 | 2006-08-04 |
| 1275058919 | Anthony T Quinta Dmd LLC | Dentist | 1795 Main Street, Suite 202, Springfield, MA 01103 | 2017-08-03 |
| 1871816389 | James William Davis | Dentist | 2025 W Iles Ave, Suite F, Springfield, IL 62704-4190 | 2010-03-11 |
| 1639380033 | Joseph J Havrilla Dds Inc | Dentist | 905 W Sproul Rd, Suite 108, Springfield, PA 19064-1254 | 2007-05-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
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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.