Organization
JAMES F. BRUNGO, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRUNGO D.P.M. (PHYSICIAN)
(412) 369-0255
Entity
Organization
Contact information
Practice address
8035 MCKNIGHT RD, SUITE 104, PITTSBURGH, PA 15237-3036
(412) 369-0255
(412) 369-0488
Mailing address
8035 MCKNIGHT RD, ANDRE PLAZA, SUITE 104, PITTSBURGH, PA 15237-3036
(412) 369-0255
(412) 369-0488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002262
GATEWAY
—
01
—
100961
MEDICARE ID - TYPE UNSPECIFIED
—
01
—
103906
UPMC
—
05
—
1059129
—
PA
01
—
31785
HEALTH AMERICA
—
01
—
480019810
RAILROAD MEDICARE
—
01
—
63853
MEDPLUS
—
01
—
77828
US HEALTHCARE
—
Enumeration date
02/10/2012
Last updated
02/10/2012
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