| Dr Kristen Ingrid Bruno, MD | |
|
706 N Main St, O Fallon, MO 63366-1743 | |
| (314) 258-5941 | |
| (314) 279-0255 |
| Full Name | Dr Kristen Ingrid Bruno |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 706 N Main St, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871795955 | NPI | - | NPPES |
| 205547201 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2007007759 (Missouri) | Primary |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Purely Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174069900 PECOS PAC ID: 7012292642 Enrollment ID: O20170322002906 |
| Entity Name | Heart2heart Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396454930 PECOS PAC ID: 3577933969 Enrollment ID: O20221229001018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristen Ingrid Bruno, MD 1181 Lockett Rd, Des Peres, MO 63131-4234 Ph: (314) 258-5941 | Dr Kristen Ingrid Bruno, MD 706 N Main St, O Fallon, MO 63366-1743 Ph: (314) 258-5941 |
Dr. Cecilia H Yu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 | |
Kimberly N Hackney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-978-7902 | |
Jasmine Kaur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-978-7902 | |
Dr. Yasangi Marina Jayasinha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway K, Suite 4, O Fallon, MO 63366 Phone: 636-240-9896 | |
Dr. John A Myers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 | |
Dr. Trina J Blythe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368 Phone: 636-344-2213 | |
Dr. Phillip D Reichert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 220, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334 |