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

Dr. David R Bruah, MD

Individual provider Family Medicine Physician · NPI 1962511634

Dr. David R Bruah, MD is a Family Medicine Physician in Port Charlotte, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2006.

Licensed in
FL, IL
In the registry since
2006
Specialties on file
2
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

21297 Olean Blvd Ste A
Port Charlotte, FL 33952-6704
Phone: (855) 979-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME105412 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-065568 (IL)

Record details

NPI number1962511634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESNovember 22, 2019

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