Individual
JEFFREY D BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8248 S 96TH ST, LA VISTA, NE 68128-3126
(402) 717-9500
(402) 717-9501
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31071
NE
207Q00000X
Family Medicine Physician
RL13713
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
06/25/2015
Last updated
07/08/2020
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