Dr. Ann Bennett Bruner
Pediatrician Adolescent Medicine
Mountain Manor Treatment Center 3800 Frederick Avenue
Baltimore
, Maryland 21229
Dr. Ann Bennett Bruner
Pediatrician Adolescent Medicine
Mountain Manor Treatment Center 3800 Frederick Avenue
Baltimore
, Maryland 21229
(410) 308-3179
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Ann Bennett Bruner
- 902 Fallscroft Way
- Lutherville, MD
- Zip : 21093-1705
- Phone : (410) 308-3179
Second Address
- Dr. Ann Bennett Bruner
- Mountain Manor Treatment Center 3800 Frederick Avenue
- Baltimore, MD
- Zip : 21229
- Phone : (410) 233-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | D41505 | MD |
| N | 208000000X | Pediatrician | MD31948 | DC |
| N | 2080A0000X | Adolescent Medicine | D41505 | MD |
| N | 2080A0000X | Adolescent Medicine | MD31948 | DC |
National Provider Identifier
| NPI | 1013044700 |
|---|---|
| Provider Name | Dr. Ann Bennett Bruner |
| First Address | Lutherville, MD 21093-1705 |
| Second Address | Baltimore, MD 21229 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2007 |
| Last Update Date | 16/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E97523 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.