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BRUNO PASSEBON SOARES MD
NPI 1184851917
Radiology - Pediatric Radiology in Palo Alto, CA

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2024, Jun 1, 2023, Mar 29, 2023 and 2 more (5 updates tracked since 2017).

About Bruno Passebon Soares Md NPPES

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

BRUNO PASSEBON SOARES MD (NPI 1184851917) is an individual pediatric radiology provider in Palo Alto, California, licensed in California (A121981) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184851917
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameBRUNO PASSEBON SOARESCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(650) 497-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 19, 2009
Last NPPES UpdateApril 7, 20245 updates tracked since enumeration
NPPES CertifiedApril 7, 2024
✔ NPI 1184851917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in CA · A121981
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A121981 (CA)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A121981 (CA)
725 WELCH RD, Palo Alto, CA 94304
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Secondary Practice Location 1

Location 1111 Colchester Ave, Main Campus, McClure, Level 1Burlington, VT 05401 · Phone (802) 847-3593

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

Bruno Passebon Soares 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 ID1951567312
PECOS Enrollment IDI20120730000639
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.

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.

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

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 Bruno Soares's NPI number?

The NPI number for Bruno Soares is 1184851917. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Bruno Soares located?

Bruno Soares practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Bruno Soares's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Bruno Soares enrolled in Medicare?

Yes. Bruno Soares 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 Bruno Soares was last updated on April 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.