DR. ELIZABETH SHOTTS BRUNER M.D. NPI 1912068818

NPI Information

NPI: 1912068818
Provider Name: DR. ELIZABETH SHOTTS BRUNER, M.D.
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
EISENHOWER ARMY MEDICAL CENTER
BLDG 300 HOSPITAL WAY
FT. GORDON, GA
ZIP 30905
Phone: (706) 787-2131
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DR. Elizabeth Shotts Bruner, M.D. is a military health care provider in Ft. Gordon, GA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Elizabeth Shotts Bruner, M.D. NPI is 1912068818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

EISENHOWER ARMY MEDICAL CENTER
BLDG 300 HOSPITAL WAY
FT. GORDON, GA
ZIP 30905
Phone: (706) 787-2131
Fax: (706) 787-2123

The NPI 1912068818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider		054490	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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