| Dr Jonathan J Bruno, MD | |
|
1100 Highway 16 E, Carthage, MS 39051-4222 | |
| (601) 267-1470 | |
| (601) 267-1469 |
| Full Name | Dr Jonathan J Bruno |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1100 Highway 16 E, Carthage, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861421406 | NPI | - | NPPES |
| 07150851 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 19353 (Mississippi) | Primary |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Greater Meridian Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962509208 PECOS PAC ID: 9032027834 Enrollment ID: O20040217000471 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982174488 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000004 |
| Entity Name | Obhg Mississippi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
| Entity Name | Premier Women's Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700214426 PECOS PAC ID: 9133358443 Enrollment ID: O20140222000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan J Bruno, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255 | Dr Jonathan J Bruno, MD 1100 Highway 16 E, Carthage, MS 39051-4222 Ph: (601) 267-1470 |