Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruno Passebon Soares, MD

Individual provider Diagnostic Radiology Physician · NPI 1184851917

Bruno Passebon Soares, MD is a Diagnostic Radiology in Palo Alto, California. Qualified in 2004, 22 years ago. Practices with Lpch Medical Group Div of Lucile, a 337-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 Welch Rd
Palo Alto, CA 94304-1601
Phone: (650) 497-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Colchester Ave, Burlington, VT 05401 — (802) 847-3593

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence A121981 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A121981 (CA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence A121981 (CA)

Record details

NPI number1184851917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESApril 7, 2024
Certification dateApril 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lpch Medical Group Div Of Lucile — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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