Physician Compare National (NPI:1902268873)

HEALTHCARE PROVIDER: MR. JOSEPH CHRIS BRUNO JR.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902268873
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305136425
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190913000146
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRUNO
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	CHRIS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SENTARA MEDICAL GROUP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8921903923
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	852
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2800 GODWIN BLVD
	Group Practice or individual's line 1 address
City	SUFFOLK
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	234348038
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7573636850
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA OBICI HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SENTARA NORFOLK GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y