DR. WARNER LEE BRUNER III (NPI# 1205836186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205836186 |
| Entity Type | Individual |
| Full Name | DR. WARNER LEE BRUNER III |
| Credential | MD |
| Practice Address |
710 Colonial Dr Baton Rouge LA 70806-6511 |
| Practice Telephone | 2259275325 |
| Practice Fax Number | 2259274150 |
| Mailing Telephone | 2259275325 |
| Mailing Fax Number | 2259274150 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2016-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 014051 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1359335 | 05 | |
| LA | BLUE CROSS | F2509 | 01 |
| Street Address |
710 COLONIAL DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861846016 | Pamela Woods | Pediatrics | 710 Colonial Dr, Baton Rouge, LA 70806-6511 | 2016-04-13 |
| 1447534672 | Jodi Lynn Johnson | Physician Assistant | 710 Colonial Dr, Baton Rouge, LA 70806-6511 | 2011-10-06 |
| 1346376076 | Clinic of Ear Nose Throat & Neck | Otolaryngology | 710 Colonial Dr, Baton Rouge, LA 70806-6511 | 2007-02-26 |
| 1447250311 | James Standish Montelaro | Otolaryngology | 710 Colonial Dr, Baton Rouge, LA 70806-6511 | 2005-07-21 |
| 1164422036 | Frank L. Fazio | Otolaryngology | 710 Colonial Dr, Baton Rouge, LA 70806-6511 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096950 | Harold Edward Zylicz II | Otolaryngology | 8585 Picardy Ave Ste 210, Baton Rouge, LA 70809-3749 | 2019-07-31 |
| 1972893816 | Lacey Katherine Adkins | Otolaryngology | 4950 Essen Ln Ste 401, Baton Rouge, LA 70809-3738 | 2011-04-12 |
| 1114226925 | Collin Blake Sutton | Otolaryngology | 8080 Bluebonnet Blvd Ste 2222, Baton Rouge, LA 70810-7828 | 2011-03-18 |
| 1780895052 | Earl James Garitty IIi | Otolaryngology | 4116 Claycut Rd, Baton Rouge, LA 70806-7002 | 2007-05-25 |
| 1902891476 | Ryan T Boone | Otolaryngology | 5258 Dijon Dr, Baton Rouge, LA 70808-4311 | 2005-09-12 |
| 1578565073 | Anthony James Martinez | Otolaryngology | 3856 N Bluebonnet Rd, Baton Rouge, LA 70809-2653 | 2005-08-15 |
| 1578563474 | Michael David Dileo | Otolaryngology | 4950 Essen Ln, 4th Floor, Suite A, Baton Rouge, LA 70809-3738 | 2005-07-21 |
| 1114483872 | Louisiana Ear, Nose, Throat & Sinus, LLC | Otolaryngology | 8080 Bluebonnet Blvd Ste 2121, Baton Rouge, LA 70810-7830 | 2019-02-18 |
| 1437522216 | W. Lee Bruner Md LLC | Otolaryngology | 8068 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2015-11-03 |
| 1285029975 | Caroline Rieger | Otolaryngology | 7373 Perkins Rd, Baton Rouge, LA 70808-4373 | 2015-03-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.