MEDICARE: DR. SANDRA DENISE MARY BRUNO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	020956	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972533602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA DENISE MARY BRUNO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 13402
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70612-3402
Country	:	US
Telephone Number	:	337-217-1000
Fax Number	:	337-217-1004

Provider Business Practice Location Address
First Line	:	217 SAM HOUSTON JONES PKWY
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70611-5603
Country	:	US
Telephone Number	:	337-217-1000
Fax Number	:	337-217-1004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295868024 — SANDRA D.M. BRUNO, M.D., LLC
Practice Location Address:

217 SAM HOUSTON JONES PKWY , SUITE 101
LAKE CHARLES, LA
70611-5603

Practice Phone: 337-217-1000
Practice Fax:

1821255852 — DR. PENNY LYNN GOODWIN M.D.
Practice Location Address:

237 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA
70611-5603

Practice Phone: 337-855-3438
Practice Fax: 337-855-9488

1285030098 — WAL-MART STORES EAST LP
Practice Location Address:

260 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA
70611-5603

Practice Phone: 337-214-6402
Practice Fax: 337-214-6403

1376901694 — CALCASIEU URGENT CARE LLC
Practice Location Address:

242 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA
70611-5603

Practice Phone: 337-905-4000
Practice Fax: 337-905-4003

1013421577 — DERRIAN SMITH PHARMD
Practice Location Address:

260 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA
70611-5603

Practice Phone: 337-214-6401
Practice Fax:

1215573308 — JONATHAN HUYNH
Practice Location Address:

260 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA
70611-5603

Practice Phone: 337-214-6402
Practice Fax:

Directions to “ DR. SANDRA DENISE MARY BRUNO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.