Look up the most recent NPI and PECOS records

Stephen Bruening

Internal Medicine

Allopathic & Osteopathic Physicians

4300 Londonderry Rd, Harrisburg, PA 17109-5317

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen Bruening is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1699261677
Provider Type
Individual
Full Name
Bruening, Stephen
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
7/2/2018
Last Updated
8/22/2024

Contact Information

Practice Location

4300 Londonderry Rd, Harrisburg, PA 17109-5317

(717) 231-8772

(717) 231-8435

Mailing Location

4300 Londonderry Rd, Harrisburg, PA 17109-5317

(717) 231-8772

(717) 231-8435

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS020228 Pennsylvania
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License OT018337 Pennsylvania
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License OS020228 Pennsylvania

Stephen Bruening

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Gabasan, Gabriel A

Barasch, Aaron Charles

Neyman, Michael Yefimovich