Provider Demographics
NPI:1902801905
Name:BRUNO, ANTHONY (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:BRUNO
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2500
Mailing Address - Fax:717-339-2502
Practice Address - Street 1:18 DEATRICK DR
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-6958
Practice Address - Country:US
Practice Address - Phone:717-339-2500
Practice Address - Fax:717-339-2500
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045029L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01134401OtherCAPITAL BLUE CROSS
PA3117048OtherUNITED HEALTH CARE (MAMSI)
PA875695OtherHIGHMARK BLUE SHIELD
PAMD045029LOtherLICENSE
PA0015902240002Medicaid
PA25-1716306OtherHEALTHNET/TRICARE
PAG920-0144/KDM4CUOtherCAREFIRST
PA001590224 0006Medicaid
PA123405OtherMEDPLUS
PA847264OtherAETNA HMO
PA867633OtherMEDICARE GROUP #
PA1007307260034OtherMEDICAID GROUP #
PA11344001OtherCAPITAL BLUECROSS
PA120420411OtherDEPT OF LABOR
PA1593333OtherFIRST HEALTH
PA5532437OtherAETNA NON-HMO
PA25-1716306OtherINTERGROUP
PA25-1716306OtherDEVON
PA3117048OtherMAMSI
PAP00841779OtherRAILROAD MEDICARE
PA2117048OtherALLIANCE PPO
PAP00169019OtherRAILROAD MEDICARE
PAP00169019OtherRAILROAD MEDICARE
PAMD045029LOtherLICENSE
PA123405OtherMEDPLUS
PA875695TGAMedicare ID - Type UnspecifiedMEDICARE