Individual
DOUGLAS A BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
321 MITCHELL AVE, BATESVILLE, IN 47006-8909
(812) 933-5018
(812) 933-5472
Mailing address
PO BOX 236, BATESVILLE, IN 47006-0236
(812) 933-5441
(812) 933-5446
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34006256B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194981
—
OH
05
—
200265810
—
IN
01
—
940080125
MEDICARE
IN
Enumeration date
07/18/2005
Last updated
03/25/2021
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