BRUNI PEDIATRIC CLINIC
NPI 1255465043
Pediatrics in Gulfport, MS

Q: What is Bruni Pediatric Clinic's NPI number?

The NPI number for Bruni Pediatric Clinic is 1255465043. It was assigned to this organization in the NPPES registry on March 15, 2007.

Q: What is Bruni Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 15, 2007

9454 THREE RIVERS RD, SUITE A, GULFPORT, MS 39503(228) 864-7747(228) 864-7415 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bruni Pediatric Clinic NPPES

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

BRUNI PEDIATRIC CLINIC (NPI 1255465043) is a healthcare organization registered as a pediatrics in Gulfport, Mississippi and active in the NPI registry since March 2007. The organization lists Tim G. Bruni, Owner, as its authorized official.

NPPES Registry Identity

NPI1255465043

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBRUNI PEDIATRIC CLINIC

Location Address9454 THREE RIVERS RD, SUITE AGulfport, MS 39503-4294

Mailing Address9454 Three Rivers Rd, Suite AGulfport, MS 39503-4294 · (228) 864-7747 · Fax (228) 864-7415

Phone(228) 864-7747

Fax(228) 864-7415

Organization SubpartNo

Authorized OfficialTim G. BruniOwner · (228) 864-7747

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1255465043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9454 THREE RIVERS RD, Gulfport, MS 39503

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Other Identifiers 1

Medicaid09015616MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MS. KRISTI RAMEY KENNON PA-C

Physician Assistant

9454 THREE RIVERS RD, STE D
GULFPORT, MS 39503

Harrison County (228) 575-2660

RONALD T BRUNI M.D.

Pediatrics

9454 THREE RIVERS RD, SUITE A
GULFPORT, MS 39503

Harrison County (228) 864-7747

MEMORIAL HOSPITAL AT GULFPORT

Family Medicine

9454 THREE RIVERS RD, SUITE D
GULFPORT, MS 39503

Harrison County (228) 863-0500

AMANDA LEVENS

Nurse Practitioner (Pediatrics)

9454 THREE RIVERS RD, SUITE A
GULFPORT, MS 39503

Harrison County (228) 864-7747

MS. FALON RENE SISSON FNP (AANP)

Nurse Practitioner (Family)

9454 THREE RIVERS RD, SUITE D
GULFPORT, MS 39503

Harrison County (228) 863-0500

KAMI BELL MSN, FNP-C

Nurse Practitioner (Family)

9454 THREE RIVERS RD, SUITE A
GULFPORT, MS 39503

Harrison County (228) 575-2676

MEMORIAL HOSPITAL AT GULFPORT

Pediatrics

9454 THREE RIVERS RD, SUITE A
GULFPORT, MS 39503

Harrison County (228) 864-7747

TIMOTHY G BRUNI M.D.

Pediatrics

9454 THREE RIVERS RD, SUITE A
GULFPORT, MS 39503

Harrison County (228) 864-7747

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 Bruni Pediatric Clinic's NPI number?

The NPI number for Bruni Pediatric Clinic is 1255465043. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Bruni Pediatric Clinic located?

Bruni Pediatric Clinic is located at 9454 Three Rivers Rd Suite A, Gulfport, MS 39503. The listed phone number is (228) 864-7747.

What is Bruni Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Bruni Pediatric Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.