NICHOLAS PAUL BRUNO (MD) – Dermatology Physician, NPI 1053413484

NICHOLAS PAUL BRUNO (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 5860 (RI). The NPI Number for NICHOLAS PAUL BRUNO (MD) is 1053413484

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS PAUL BRUNO (MD)
NPI
1053413484
Phone
(401) 421-7656
Address
741 SMITH STREET
Enumeration Date
5 September 2006
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4014759140
Graduation Year
1980 (46 years ago)
PAC ID
1658477617
Group Practice PAC ID
8123007523
Professional Enrollment ID
I20070508000320
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for NICHOLAS PAUL BRUNO (MD)

  • 741, Smith Street, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029083592

    Phone: (401) 421-7656

    Fax: (401) 270-6457

    Type: Mailing

  • Wake Robin Road, Lincoln, Providence County, Rhode Island, 02802, United States

    LINCOLN, RI 028654208

    Phone: (401) 475-9140

    Fax: (401) 475-2808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123007523View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryRI
Physician AssistantRI
Physician AssistantRI
D E R M A T O L O G YMA
Physician AssistantRI
Physician AssistantRI
Physician AssistantRI

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Frequently asked questions

How do payers reference NICHOLAS PAUL BRUNO (MD)?
For NICHOLAS PAUL BRUNO (MD), use NPI 1053413484 as the unique 10-digit identifier.
Is NICHOLAS PAUL BRUNO (MD) shown as active in public data?
Registry records indicate NICHOLAS PAUL BRUNO (MD) maintains an active NPI.
What kind of doctor is NICHOLAS PAUL BRUNO (MD)?
NICHOLAS PAUL BRUNO (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICHOLAS PAUL BRUNO (MD)?
Travel planning: use Providence, Rhode Island as the reference point for NICHOLAS PAUL BRUNO (MD), then confirm.
When was this NPI issued?
Enumeration for NICHOLAS PAUL BRUNO (MD) is noted as September 5, 2006 where the registry provides it.

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