Individual
BRIAN JAMES BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 19TH ST, LUBBOCK, TX 79410-1202
(806) 687-8346
(888) 856-2848
Mailing address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
H1268
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
H1268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109364100
FIRSTCARE
TX
05
—
136990209
—
TX
01
—
300109582
RAILROAD MEDICARE
TX
01
—
625753
FIRST HEALTH
—
01
—
87451Y
BLUE CROSS
TX
05
—
X8325
—
NM
Enumeration date
06/01/2005
Last updated
01/13/2023
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