Individual
DR. JOHN BRET BRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 557-3333
(513) 557-3332
Mailing address
1472 SOLUTIONS CTR, CHICAGO, IL 60677-1004
(513) 557-3333
(513) 557-3332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01075910A
IN
207P00000X
Emergency Medicine Physician
Primary
35081559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200498590
—
IN
05
—
2351066
—
OH
05
—
64076219
—
KY
Enumeration date
06/10/2005
Last updated
08/01/2024
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