THOMAS BENJ BRUNS M.D.
NPI 1649201302
Pediatrics - Pediatric Emergency Medicine in Chattanooga, TN

Active since July 05, 2006PECOS Enrolled
910 BLACKFORD ST, CHATTANOOGA, TN 37403(423) 778-6011(865) 539-8008 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Benj Bruns M.d. NPPES

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

THOMAS BENJ BRUNS M.D. (NPI 1649201302) is an individual pediatric emergency medicine provider in Chattanooga, Tennessee, licensed in Tennessee (MD21711) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649201302
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameTHOMAS BENJ BRUNSCredential: M.D.
Location Address910 BLACKFORD STChattanooga, TN 37403-1405
Mailing AddressPo Box 633819Cincinnati, OH 45263-0001
Fax(865) 539-8008
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 21, 2007
NPI 1649201302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in TN · MD21711
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD21711 (TN)
Also ListedPediatricsTaxonomy 208000000X · License MD21711 (TN)
910 BLACKFORD ST, Chattanooga, TN 37403

Other Identifiers 4

Medicare PIN3096329TN
Medicaid3096329TN
Other4104896TN · Bcbs Of Tennessee
Medicare UPINF74651TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas Benj Bruns M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Student in an Organized Health Care Education/Training Program
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Pediatrics
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Speech-Language Pathologist
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Nurse Practitioner (Pediatrics)
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Pediatrics
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Pediatrics (Pediatric Gastroenterology)
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Speech-Language Pathologist
910 BLACKFORD ST
CHATTANOOGA, TN 37403

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 Thomas Bruns's NPI number?

The NPI number for Thomas Bruns is 1649201302. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Thomas Bruns located?

Thomas Bruns practices at 910 Blackford St, Chattanooga, TN 37403. The listed phone number is (423) 778-6011.

What is Thomas Bruns's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Thomas Bruns enrolled in Medicare?

Yes. Thomas Bruns is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Bruns was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.