Search › Missouri › 363L00000X
Matthew Bruns, CNP
NPI 1447266333 · on the registry since 2006
Practice
- Address
- 12349 De Paul Dr Ste 100
Bridgeton, MO 63044 - Phone
- (314) 291-7900
- Organisation at this address
- Ssm Medical Group Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 1025 Maine St, Quincy, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri