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KEITH R BRUNO MD
NPI 1164530184
Dermatology in Tucker, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
200 CRESCENT CENTER PKWY, DEPARTMENT OF DERMATOLOGY, TUCKER, GA 30084(770) 496-3605(770) 496-3707 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith R Bruno Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH R BRUNO MD (NPI 1164530184) is an individual dermatology provider in Tucker, Georgia, licensed in Georgia (038701) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1988).

NPPES Registry Identity

NPI1164530184
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKEITH R BRUNOCredential: MD
Location Address200 CRESCENT CENTER PKWY, DEPARTMENT OF DERMATOLOGYTucker, GA 30084-7047
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7000
Phone(770) 496-3605
Fax(770) 496-3707
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1988
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 6, 2022
✔ NPI 1164530184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 038701
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
200 CRESCENT CENTER PKWY, Tucker, GA 30084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith R Bruno Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395934806
PECOS Enrollment IDI20110114000528
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SWETA PATEL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (404) 364-4848
MINH THU NGUYEN DANG
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 220-3787
JAMES W HAMILTON LPC
Psychologist (Cognitive & Behavioral)
200 CRESCENT CENTER PKWY, DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084
Dekalb County (770) 496-3609
STANLEY JOHN JAGIELSKI M.D.
Obstetrics & Gynecology
200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
TUCKER, GA 30084
Dekalb County (770) 496-3525
SPANDANA THENKABAIL MD
Internal Medicine
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (404) 365-0966
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 496-3515
ANDREA PALMER PHARMD
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 220-3787
MRS. JAN T. SMITH RPH
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 496-3523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Bruno's NPI number?

The NPI number for Keith Bruno is 1164530184. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Keith Bruno located?

Keith Bruno practices at 200 Crescent Center Pkwy Department Of Dermatology, Tucker, GA 30084. The listed phone number is (770) 496-3605.

What is Keith Bruno's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Keith Bruno enrolled in Medicare?

Yes. Keith Bruno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keith Bruno was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.