Individual
BRUCE K BIENEMAN
Active
Individual
BRUCE K BIENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
108877
MO
2085R0202X
Diagnostic Radiology Physician
0101240919
VA
2085R0202X
Diagnostic Radiology Physician
036101977
IL
2085R0202X
Diagnostic Radiology Physician
04-28930
KS
2085R0202X
Diagnostic Radiology Physician
Primary
108877
MO
2085R0202X
Diagnostic Radiology Physician
21052
WV
2085R0202X
Diagnostic Radiology Physician
35173
TN
2085R0202X
Diagnostic Radiology Physician
MD-33964
IA
2085R0202X
Diagnostic Radiology Physician
MD459547
PA
2085R0204X
Vascular & Interventional Radiology Physician
108877
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203935416
—
MO
05
—
366644640
—
IL
Enumeration date
07/20/2006
Last updated
10/29/2020
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