Nicholas Paul Bruno, MD is a
Dermatology physician based in Lincoln, Rhode Island. Nicholas Paul Bruno is licensed to practice in Rhode Island (license number 5860) and his current practice location is 3 Wake Robin Rd Unit 5, Lincoln, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 475-9140.
NPI number for Nicholas Paul Bruno is 1053413484 and his current mailing address is 741 Smith Street, Providence, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053413484.
Physician's Profile
| Full Name | Nicholas Paul Bruno |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Location | 3 Wake Robin Rd Unit 5, Lincoln, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053413484
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 04/03/2019
Medical Identifiers
Medical identifiers for Nicholas Paul Bruno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053413484 | NPI | - | NPPES |
| 9000499 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 5860 (Rhode Island) | Primary |
| 207ND0900X | Dermatology - Dermatopathology | 5860 (Rhode Island) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Paul Bruno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicholas Paul Bruno, MD
741 Smith Street,
Providence, RI 02908-3592
Ph: (401) 421-7656 | Nicholas Paul Bruno, MD
3 Wake Robin Rd Unit 5,
Lincoln, RI 02865-4208
Ph: (401) 475-9140 |
Reviews and Comments