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Contact Information

DEREK BRUNO, RN
15200 COMMUNITY RD
GULFPORT, MS39503-3085
 Phone: 228-575-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

163WG0100X
Indicates primary specialty

NPI Profile & details for DEREK BRUNO · (Male)

NPI # 1639032311
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 12/08/2025
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 912238
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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