Bruner, Craig Matthew
Bruner, Craig Matthew is an individual health care provider with primary practice located at 5800 Foxridge Dr Ste 240, Mission KS 66202-2338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bruner, Craig Matthew can be contacted via phone (913) 261-3153.Contact Information
Primary practice address
5800 Foxridge Dr Ste 240
Mission KS 66202-2338
Phone: (913) 261-3153
Fax: (913) 262-3295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-27631 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2000172082 | Missouri |
Profile Details
| NPI number | 1710981469 |
|---|---|
| LBN Legal business name | Bruner, Craig Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | May 17th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710981469 | NPPES |
| Kansas | MEDICAID | 100381650B | |
| Kansas | MEDICAID | 100381650A | |
| Kansas | MEDICAID | 205166101 |
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