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MOSS BLUFF MEDICAL CLINIC
NPI 1295868024
Internal Medicine in Lake Charles, LA

Active since March 13, 2007CLIA 19D0990599 · Waiver
217 SAM HOUSTON JONES PKWY, SUITE 101, LAKE CHARLES, LA 70611(337) 217-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moss Bluff Medical Clinic NPPES

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

MOSS BLUFF MEDICAL CLINIC (NPI 1295868024) is a healthcare organization registered as an internal medicine in Lake Charles, Louisiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Sandra D Bruno, Owner, as its authorized official.

NPPES Registry Identity

NPI1295868024
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSANDRA D.M. BRUNO, M.D., LLC
Location Address217 SAM HOUSTON JONES PKWY, SUITE 101Lake Charles, LA 70611-5603
Mailing Address217 Sam Houston Jones Pkwy, Suite 101Lake Charles, LA 70611-5603 · (337) 217-1000
Phone(337) 217-1000
Organization SubpartNo
Authorized OfficialSandra D BrunoOwner · (337) 217-1000
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295868024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 020956
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
217 SAM HOUSTON JONES PKWY, Lake Charles, LA 70611
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Other Names 1

Doing Business AsMoss Bluff Medical Clinic

Other Identifiers 1

Medicaid1677027LA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0990599

Moss Bluff Medical Clinic · Lake Charles, LA
Active · expires Aug 27, 2027
CLIA Number19D0990599
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorSandra D. Bruno, MD
Laboratory Phone(337) 217-1000
Laboratory LocationMoss Bluff Medical Clinic217 Sam Houston Jones Parkway, Lake Charles, LA 70611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JEREMY STILLWELL PT
Physical Therapist
217 SAM HOUSTON JONES PKWY, STE 103
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 217-0997
DR. TIMOTHY C. HAMAN MD
Internal Medicine
217 SAM HOUSTON JONES PKWY, SUITE 102
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 430-4262
KRYSTLE MARIE DIAZ APRN, FNP
Nurse Practitioner (Family)
217 SAM HOUSTON JONES PKWY, SUITE 101
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 217-1000
STEWART C. GREATHOUSE M.D.
Family Medicine
217 SAM HOUSTON JONES PKWY, STE 104
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 480-8989
DR. SANDRA DENISE MARY BRUNO M.D.
Internal Medicine
217 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 217-1000

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 Sandra D.M. Bruno, M.D., LLC's NPI number?

The NPI number for Sandra D.M. Bruno, M.D., LLC is 1295868024. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Moss Bluff Medical Clinic.

Where is Sandra D.M. Bruno, M.D., LLC located?

Sandra D.M. Bruno, M.D., LLC is located at 217 Sam Houston Jones Pkwy Suite 101, Lake Charles, LA 70611. The listed phone number is (337) 217-1000.

What is Sandra D.M. Bruno, M.D., LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sandra D.M. Bruno, M.D., LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0990599) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sandra D.M. Bruno, M.D., LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Sandra D.M. Bruno, M.D., LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra D.M. Bruno, M.D., LLC 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 5 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.