Provider Demographics
NPI:1083230734
Name:BRUNA, SAMUEL V (MD)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:V
Last Name:BRUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:SABETHA
Mailing Address - State:KS
Mailing Address - Zip Code:66534-0229
Mailing Address - Country:US
Mailing Address - Phone:785-284-2121
Mailing Address - Fax:785-284-1514
Practice Address - Street 1:603 S 14TH ST
Practice Address - Street 2:
Practice Address - City:SABETHA
Practice Address - State:KS
Practice Address - Zip Code:66534-2105
Practice Address - Country:US
Practice Address - Phone:785-284-2121
Practice Address - Fax:785-284-1514
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-51262208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery