Provider / Organization | NPI | Date Certified |
---|---|---|
BRUNO PASSEBON SOARES | 1184851917 | 2024-04-07 |
Bruno P Soares [M] graduated in 2004 and primarily specializes in Diagnostic Radiology.
Bruno Passebon Soares is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184851917. Registration indicates Bruno Passebon Soares is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Pediatric Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Pediatric Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Neuroradiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Neuroradiology, Allopathic & Osteopathic Physicians) (Radiology, )
PECOS ID | 1951567312 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Bruno Passebon Soares MD |
Practice Office Address | 725 WELCH RD PALO ALTO, CA US |
Practice Office Telephone | 6504978000 |
Mailing Address | 725 WELCH RD PALO ALTO, CA 943041601 US |
Business Telephone | 6504978000 |
Address | City / State | Phone / Fax |
---|---|---|
111 Colchester Ave Main Campus, McClure, Level 1 | Burlington, VT 05401 | 8028473593 |
Code | Practice | License No State |
---|---|---|
2085R0202X | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | A121981
CA |
2085P0229X PRIMARY | Allopathic & Osteopathic Physicians Radiology Radiology: Pediatric Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Pediatric Radiology Allopathic & Osteopathic Physicians Radiology | A121981
CA |
2085N0700X | Allopathic & Osteopathic Physicians Radiology Radiology: Neuroradiology Diagnostics/Imaging/Laboratory/Mammography Radiology Neuroradiology Allopathic & Osteopathic Physicians Radiology | A121981
CA |