National Provider Identifier

Charles Lewis Bruehl, MD

Charles Lewis Bruehl, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in North Chili, NY and a listed phone number of (585) 594-9254.

NPI 1306942123North Chili, NYPediatrics Physician

Profile Overview

NPI
1306942123
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
September 16, 2006
Last Updated
July 09, 2007

Practice Location

  • 4415 Buffalo RD
  • Suite 1B
  • North Chili, NY 14514-1024

Phone: (585) 594-9254

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1306942123
Entity Type
Individual
Last Name
Bruehl
First Name
Charles
Middle Name
Lewis
Name Prefix
Dr.
Credential
MD
Mailing Street Address
4415 Buffalo RD
Mailing Address Line 2
Suite 1B
Mailing City
North Chili
Mailing State
NY
Mailing ZIP Code
14514-1024
Mailing Country
US
Mailing Phone
(585) 594-9254
Mailing Fax
(585) 594-9233
Practice Street Address
4415 Buffalo RD
Practice Address Line 2
Suite 1B
Practice City
North Chili
Practice State
NY
Practice ZIP Code
14514-1024
Practice Country
US
Practice Phone
(585) 594-9254
Practice Fax
(585) 594-9233
Enumeration Date
September 16, 2006
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
01299756 (NY)