CMS-1500 Box 24J / 33a • NPI
1639170509
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RA0401X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
4265 S A ST, RICHMOND, IN, 47374-6049
✓ 9-Digit EDI 837 ZIP+4 (47374-6049)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1639170509 (PATRICK BRUNO, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1639170509)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Buprenorphine Hcl Buprenorphine Hcl | 25 | <11 |
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 28 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1639170509 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PATRICK BRUNO, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RA0401X (Internal Medicine, Addiction Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 4265 S A ST, RICHMOND, IN, 47374-6049 |
| Practice Telephone / Fax | Tel: (765) 962-8843 |
| Administrative Mailing Address | 3535 LEE RD, SHAKER HEIGHTS, OH, 44120-5122 |
| Enumeration & Last Sync | Enumerated: 2005-08-02 | CMS Record Updated: 2025-06-24 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RA0401X)
What Does Taxonomy Code 207RA0401X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RA0401X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PATRICK BRUNO, MD)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: OH | License: 35.096568 | Primary: Secondary |
207RA0401X — Internal Medicine, Addiction MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OH | License: 35096568 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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