Dr. Theodore Bruno, MD
Family Medicine in Durham, Connecticut
1174068803- Practice location
- 12 Pleasant Ter, Durham, CT 06422-2305
- Phone
- 860-888-2700
- Fax
- —
- Last updated
- January 4, 2017
Theodore Bruno is a Family Medicine based in Durham, CT. Theodore Bruno practices in Durham, CT and has the professional credentials of MD. The NPI Number for Theodore Bruno is 1174068803 and holds a License No. 030049 (CT). The current practice location address for Theodore Bruno is 12 Pleasant Ter, Durham, CT 06422-2305 and can be reached out via phone at 860-888-2700.
Provider Profile Details
- NPI Number
- 1174068803
- Provider Name
- Theodore Bruno
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Pleasant Ter, Durham, CT 06422-2305
- Phone Number
- 860-888-2700
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 4, 2017
- Last Update Date
- January 4, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Pleasant Ter
Durham, CT 06422-2305 - City
- Durham
- State
- Connecticut
- Zip
- 06422-2305
- Phone Number
- 860-888-2700
Provider Business Mailing Address Details
- Address
- 12 Pleasant Ter
Durham, CT 06422-2305 - City
- Durham
- State
- CT
- Zip
- 06422-2305
License Information
- License Number
- 030049
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Theodore Bruno, MD?
The NPI number of Dr. Theodore Bruno, MD is 1174068803. It was assigned on January 4, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Theodore Bruno, MD?
Dr. Theodore Bruno, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 030049.
Where does Dr. Theodore Bruno, MD practice?
The practice location is 12 Pleasant Ter, Durham, CT 06422-2305. The office can be reached at 860-888-2700 (phone).
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 1174068803 directly on the NPPES registry website.