Provider Demographics
NPI:1710215314
Name:BRUNO, FRANK A (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:BRUNO
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 S. CEDAR CREST BLVD.
Mailing Address - Street 2:#301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-504474-L163W00000X
PA084382367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3747922000OtherINDEPENDENT BLUE CROSS
PA50090067OtherCAPITAL ADVANTAGE
PA9654439OtherAETNA
PA1586364OtherGATEWAY
PA2137133OtherHIGHMARK
PA130951OtherGEISINGER
PA2137133OtherFIRST PRIORITY
PA12027192OtherCAQH
PABRUNOFRANK A. 1Medicaid
PA12027192OtherCAQH
PA2137133OtherHIGHMARK