Basic Information
| Provider Information | |||||||||
| NPI: | 1275762080 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASILE | ||||||||
| FirstName: | BRUNO | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1533 BROAD AVENUE EXTENSION | ||||||||
| Address2: | SUITE100 | ||||||||
| City: | BELLE VERNON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150121935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249296700 | ||||||||
| FaxNumber: | 7249292663 | ||||||||
| Practice Location | |||||||||
| Address1: | 1200 BROOKS LN STE 110 | ||||||||
| Address2: | |||||||||
| City: | CLAIRTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150253749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124665502 | ||||||||
| FaxNumber: | 4124698948 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2009 | ||||||||
| LastUpdateDate: | 10/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OT013097 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.