Brian Bruening (NPI# 1124020318, PAC ID# 0547167223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1124020318 |
| PAC ID by PECOS | 0547167223 |
| Professional Enrollment ID | I20050210000963 |
| Full Name | Brian Bruening |
| Organization Legal Name | LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. |
| Address |
4005 24th St Lubbock TX 79410-1815 |
| Phone Number | 8067922767 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4183521859 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| 450686 | UNIVERSITY MEDICAL CENTER |
| 450539 | COVENANT HOSPITAL PLAINVIEW |
| 453306 | COVENANT CHILDRENS HOSPITAL |
| 450755 | COVENANT HOSPITAL LEVELLAND |
| Address | Phone | Organization |
|---|---|---|
| 1600 N Main Ave, Lovington, NM 88260-2830 | 8067922767 | LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. |
| 3525 19th St, Lubbock, TX 79410-1202 | 8067922767 | METHODIST DIAGNOSTIC IMAGING |
| 4005 24th St, Lubbock, TX 79410-1815 | 8067922767 | LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. |
| 42121 Us, Suite 70, Portales, NM 88130-9054 | 8067922767 | LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. |
| Organization Legal Name | LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Poe | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Scott Porter | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Waldo Martinez | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Douglas Wright | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Steven White | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Gary Simmons | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Zachary Ballenger | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| James Wolfe | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Thomas Callahan | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Cody Cox | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Street Address |
4005 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-1815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Poe | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Scott Porter | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Waldo Martinez | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Douglas Wright | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Steven White | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Gary Simmons | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Zachary Ballenger | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| James Wolfe | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Thomas Callahan | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Cody Cox | Diagnostic Radiology | Lubbock Diagnostic Radiology, L.l.p. | 4005 24th St, Lubbock, TX 79410-1815 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LUBBOCK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brian Bruening.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.