MEDICARE: MATTHEW BRUNER MD

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	LL82822	SC

General Provider Information

NPI Number	:	1104486463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW BRUNER MD

Provider Business Mailing Address
First Line	:	162 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	162 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8907
Country	:	US
Telephone Number	:	843-792-4074
Fax Number	:

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

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	06/19/2019

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