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Contact Information

EDWARD A BRUNS, DO
1050 W 10TH ST
STE 350
ROLLA, MO65401
 Phone: 573-458-3350
 Fax: 573-426-6247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDWARD A BRUNS · (Male)

NPI Number 1205855715
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/18/2006
Last updated 04/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 31589
  • MO Medicaid 240502815
  • MO Medicaid 24052815
  • MO Other 8768 BLUE CROSS BLUE SHIELD OF
  • MO Other 130959 HEALTHLINK
  • MO Other P00144896 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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