Individual
CAROLINA BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, STE 2180, INDIANAPOLIS, IN 46202-5149
(317) 944-8660
(317) 944-1289
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01067041
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000637141
ANTHEM BCBS
IN
05
—
200961420
—
IN
Enumeration date
07/09/2008
Last updated
02/26/2014
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