Individual
TERRANCE BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-28748
KS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
04-28748
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058736
BCBS
KS
01
—
2220029506
RAILROAD MEDICARE
—
Enumeration date
01/21/2006
Last updated
07/13/2026
Update your record
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