Thomas Benj Bruns, M.D.
Pediatrics, Pediatric Emergency Medicine in Chattanooga, TN. Individual provider (NPI-1).
NPI number1649201302
StatusActive
Last updated in NPPESNov 21, 2007
Details
- NPI
- 1649201302
- Entity type
- Individual (NPI-1)
- Name
- Thomas Benj Bruns
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Nov 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | MD21711 | TN | Yes |
| 207P00000X | Emergency Medicine | MD21711 | TN | |
| 208000000X | Pediatrics | MD21711 | TN |
Practice location
910 Blackford StChattanooga, TN 37403-1405
Phone 423-778-6011 · Fax 865-539-8008
Mailing address
Po Box 633819Cincinnati, OH 45263-0001
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