Individual
DONALD J BRUNS
Active
Individual
DONALD J BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01026204A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082189
BC BS
IN
01
—
000000193001
BC BS
IN
05
—
200006380A
—
IN
01
—
300064851
RAILROAD MEDICARE
IN
01
—
300127024
RAILROAD MEDICARE
IN
Enumeration date
07/19/2005
Last updated
09/05/2012
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