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

Q: 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.

Q: 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.

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: November 01, 2026.

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moss Bluff Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moss Bluff Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sandra Bruno, M.D.

Internal Medicine

NPI 1972533602

217 SAM HOUSTON JONES PKWY
Lake Charles, LA 70611

(337) 217-1000

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Sandra D.M. Bruno, M.D., LLC enrolled in Medicare?

Yes. Sandra D.M. Bruno, M.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandra D.M. Bruno, M.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sandra D.M. Bruno, M.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.