Provider Demographics
NPI:1376762823
Name:OLIVEIRA, BRUNO (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUNO
Middle Name:
Last Name:OLIVEIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35100
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-5100
Mailing Address - Country:US
Mailing Address - Phone:406-238-2800
Mailing Address - Fax:
Practice Address - Street 1:801 N 29TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0905
Practice Address - Country:US
Practice Address - Phone:406-238-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-11329208000000X
MT11329207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000098416OtherBCBS PIN
MT1153260006Medicare PIN
CAW809FMedicare ID - Type UnspecifiedEL MONTE
MT011001013Medicare PIN
CAW809AMedicare ID - Type UnspecifiedROYBAL
MT000098416OtherBCBS PIN
CAW809BMedicare ID - Type UnspecifiedHUDSON
MT011001012Medicare PIN
MTP00439673Medicare PIN