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Individual

DR. BRUCE HAROLD BRUMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6751 N 72ND ST, SUITE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150
Mailing address
6751 N 72ND ST, SUITE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13621
NE
207W00000X
Ophthalmology Physician
20580
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01690
BCBS OF NE
NE
05
0941856
IA
05
47067295013
NE
01
6465
MIDLANDS CHOICE
NE
01
87648
COVENTRY
NE
01
94185
WELLMARK
IA
Enumeration date
08/12/2006
Last updated
11/07/2007
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