Individual
BRYAN CHRISTOPHE BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W COLLEGE ST, SUITE 140, GRAPEVINE, TX 76051-3580
(214) 826-6021
(682) 223-5006
Mailing address
3600 GASTON AVE, STE 1205, DALLAS, TX 75246-1800
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49681
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707685000
—
MN
01
—
P00728952
RAILROAD MEDICARE
MN
Enumeration date
04/25/2007
Last updated
01/31/2017
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