Active NPIIndividual providerSole proprietor

Nicholas P Bruno, MD

Dermatology in Lincoln, Rhode Island

NPI Number1053413484
Practice location
3 Wake Robin RD Unit 5, Lincoln, RI 02865-4208
Fax
401-475-2808
Last updated
April 3, 2019

Nicholas Paul Bruno is a Dermatology based in Lincoln, RI. Nicholas Paul Bruno practices in Lincoln, RI and has the professional credentials of MD. The NPI Number for Nicholas Paul Bruno is 1053413484 and holds a License No. 5860 (RI). The current practice location address for Nicholas Paul Bruno is 3 Wake Robin RD Unit 5, Lincoln, RI 02865-4208 and can be reached out via phone at 401-475-9140 and via fax at 401-475-2808.

Provider Profile Details

NPI Number
1053413484
Provider Name
Nicholas Paul Bruno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3 Wake Robin RD Unit 5, Lincoln, RI 02865-4208
Phone Number
401-475-9140
Fax Number
401-475-2808
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2006
Last Update Date
April 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Wake Robin RD Unit 5
Lincoln, RI 02865-4208
Zip
02865-4208
Phone Number
401-475-9140
Fax Number
401-475-2808
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
741 Smith Street
Providence, RI 02908-3592
City
Providence
State
RI
Zip
02908-3592
Phone Number
401-421-7656
Fax Number
401-270-6457

License Information

License Number (1)
5860
License State (1)
RI
Taxonomy (1)
Dermatology, Dermatopathology · 207ND0900X
License Number (2)
5860
License State (2)
RI
Taxonomy (2)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicholas P Bruno, MD?

The NPI number of Nicholas P Bruno, MD is 1053413484. It was assigned on September 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicholas P Bruno, MD?

Nicholas P Bruno, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in RI under license number 5860.

Where does Nicholas P Bruno, MD practice?

The practice location is 3 Wake Robin RD Unit 5, Lincoln, RI 02865-4208. The office can be reached at 401-475-9140 (phone) or 401-475-2808 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053413484 directly on the NPPES registry website.

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