Individual
EDWARD A BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31589
MO
207RG0100X
Gastroenterology Physician
Primary
31589
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130959
HEALTHLINK
MO
05
—
240502815
—
MO
05
—
24052815
—
MO
01
—
8768
BLUE CROSS BLUE SHIELD OF
MO
01
—
P00144896
RAIL ROAD MEDICARE
MO
Enumeration date
07/18/2006
Last updated
04/04/2011
Update your record
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