NPI 1649201302 · live from the CMS NPI Registry
Thomas Benj Bruns, M.D.
Pediatrics, Pediatric Emergency Medicine in Chattanooga, TN. National Provider Identifier 1649201302, active.
NPI record
| NPI | 1649201302 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 910 Blackford St, Chattanooga, TN 37403 |
| Practice phone | 423-778-6011 |
| Mailing address | Po Box 633819, Cincinnati, OH 45263 |
| Enumerated | July 5, 2006 |
| Last updated | November 21, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | MD21711 (TN) |
| Pediatrics | 208000000X | MD21711 (TN) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | MD21711 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.