Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC002415L | PA |
Y | 222Z00000X | Podiatrist | SC002415L | PA |
NPI | 1013904077 |
---|---|
Provider Name | Dr. James Francis Brungo |
First Address | Pittsburgh, PA 15237-3036 |
Second Address | Pittsburgh, PA 15237-3036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 28/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1002262 | GATEWAY (01) | |
100961 | HIGHMARK (01) | |
103906 | UPMC (01) | |
1059129 | (05) | PA |
31785 | HEALTH AMERICA (01) | |
480019810 | RAILROAD MEDICARE (01) | |
63853 | MEDPLUS (01) | |
77828 | US HEALTHCARE (01) | |
T28598 | (02) |