| Mr Matthew W Bruns, CNP | |
|
12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 | |
| (314) 291-7900 | |
| Not Available |
| Full Name | Mr Matthew W Bruns |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 12349 De Paul Dr Ste 100, Bridgeton, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447266333 | NPI | - | NPPES |
| 209006084 | Other | IL | ILLINOIS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209006084 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 2018022966 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 557 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Entity Name | Orthopedic Health Of Kansas City Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336188242 PECOS PAC ID: 3375508443 Enrollment ID: O20041130001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew W Bruns, CNP Po Box 955534, Saint Louis, MO 63195-4038 Ph: () - | Mr Matthew W Bruns, CNP 12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 Ph: (314) 291-7900 |
Debra E Solom, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-209-5142 | |
Suneeta V. Parpelli, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-317-0600 Fax: 314-317-0606 | |
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770 | |
Mrs. Stella Wohlfarth, FNP-C, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3478 Bridgeland Dr Ste 2, Bridgeton, MO 63044 Phone: 314-739-8200 Fax: 314-735-4490 | |
Mckinzie Jo Kizer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-741-0911 Fax: 314-218-9622 | |
Phylicia Little, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12800 Boenker Ln, Bridgeton, MO 63044 Phone: 314-499-6060 Fax: 314-261-9222 | |
Ms. Amy Elizabeth Mcalister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 Phone: 314-209-5222 Fax: 314-092-5224 |