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

Mr. Tiago Poleselli Bruniera, PA-C

Individual provider Surgical Physician Assistant · NPI 1164858650

Mr. Tiago Poleselli Bruniera, PA-C is a Physician Assistant in Athens, Georgia. Qualified in 2013, 13 years ago. Practices with Piedmont Athens Specialty Care LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1199 Prince Ave Fl 2
Athens, GA 30606
Phone: (706) 475-1700
Fax: (706) 475-1790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 007644 (GA)

Record details

NPI number1164858650
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2013
Last updated in NPPESJuly 12, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Piedmont Athens Specialty Care Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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