Edmund Bruning
Edmund Bruning is a Physician Assistant in Mascoutah, Illinois. Qualified in 2023, 3 years ago. Practices with Midwest Inpatient Anderson Health Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 3
- Licensed in
- MO
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
10630 Town Hall RdMascoutah, IL 62258-3942
Phone: (618) 541-0250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2023043101 (MO) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1801679469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | November 28, 2023 |
| Certification date | November 28, 2023 |
| Mailing address | 10630 Town Hall Rd, Mascoutah, IL 62258-3942 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Midwest Inpatient Anderson Health Inc — 48 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |