Individual
DR. GARY L BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2222
(660) 626-2150
Mailing address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2222
(660) 626-2470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015035924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11042435
HEALTHLINK
MO
01
—
1538
DAKOTACARE
SD
01
—
22283
MIDLANDS CHOICE
SD
05
—
272787100
—
MN
01
—
4995981
BCBS OF SOUTH DAKOTA
SD
05
—
5603156
—
SD
05
—
5603157
—
SD
01
—
57028A003
WPS TRICARE
SD
01
—
659S4BR
CC SYSTEMS BLUE PLUS
MN
01
—
68889
ARAZ/AMERICA'S PPO
SD
01
—
AH9081017522
PREFERRED ONE
SD
Enumeration date
02/23/2006
Last updated
02/11/2019
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