Individual provider · Type 1 NPI
Thomas Michael Bruner
Student in an Organized Health Care Education/Training Program · Heidrick, KY
NPI number
1902779770
Active
Practice location
109 Morris Ln
Heidrick, KY 40949-5976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1902779770
Thomas Michael Bruner's National Provider Identifier is 1902779770, issued on Sep 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Heidrick, KY. The record was last updated on Sep 26, 2025.