Bruni Pediatric Clinic

LBN: Bruni Pediatric Clinic
Bruni Pediatric Clinic is an health care organization with primary practice located at 9454 Three Rivers Rd Suite A, Gulfport MS 39503-4294. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Bruni Pediatric Clinic can be contacted via phone (228) 864-7747, or through Bruni, Tim G. via phone (228) 864-7747.

Contact Information

Primary practice address
9454 Three Rivers Rd Suite A Gulfport MS 39503-4294
Phone: (228) 864-7747
Fax: (228) 864-7415
Website:
Map and Directions
Authorized official contact:
Name: Bruni, Tim G. Doctor of Medicine (MD)
Phone: (228) 864-7747

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1255465043
LBN Legal business name Bruni Pediatric Clinic
DBA Doing business as
Authorized official Bruni, Tim G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255465043 NPPES
Mississippi MEDICAID 09015616

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