Bragonier, Bruce Robert

Bragonier, Bruce Robert is an individual health care provider with primary practice located at 555 Petaluma Ave Suite B, Sebastopol CA 95472-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bragonier, Bruce Robert can be contacted via phone (707) 823-7602.

Contact Information

Primary practice address
555 Petaluma Ave Suite B Sebastopol CA 95472-4225
Phone: (707) 823-7602
Fax: (707) 823-7625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G75427 California

Profile Details

NPI number 1134110026
LBN Legal business name Bragonier, Bruce Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134110026 NPPES
California Other 00G754270 PTAN
California MEDICAID 00G754270 PTAN

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