BRENT E BRUNSTING (NPI# 1336255785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336255785 |
| Entity Type | Individual |
| Full Name | BRENT E BRUNSTING |
| Credential | MD |
| Practice Address |
1410 6th Ave S Clear Lake IA 50428-2606 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-5489 |
| Practice Telephone | 6413572191 |
| Practice Fax Number | 6413576020 |
| Mailing Telephone | 6414943041 |
| Mailing Fax Number | 6414943059 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24263 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2029439 | 05 | |
| IA | WELLMARK | 17004 | 01 |
| Street Address |
1410 6TH AVE S |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578573846 | Tracy M Mixdorf | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-09 |
| 1801337795 | Anne Jones | Nurse Practitioner | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2017-03-13 |
| 1457642910 | Lexa Collin Starbeck | Nurse Practitioner | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2011-05-02 |
| 1265511489 | Kimberly Elizabeth Etherington | Physician Assistant | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-11-06 |
| 1790895654 | North Iowa Mercy Clinics | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-30 |
| 1861508251 | Donald C Berge | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-21 |
| 1306952700 | Willis K Dankle | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| Find all providers in zip 50428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770710980 | Suzanne N Kersbergen | Family Medicine | 1410 6th Ave So, Clear Lake, IA 50428-2606 | 2009-06-15 |
| 1578573846 | Tracy M Mixdorf | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-09 |
| 1154382513 | John Brady | Family Medicine | 1801 Us Highway 18 E, Clear Lake, IA 50428-2162 | 2006-03-28 |
| 1538704945 | Waypoint Medical LLC | Family Medicine | 1801 Us Highway 18 E, Clear Lake, IA 50428-2162 | 2019-11-08 |
| 1790895654 | North Iowa Mercy Clinics | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-30 |
| 1861508251 | Donald C Berge | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-21 |
| 1306952700 | Willis K Dankle | Family Medicine | 1410 6th Ave S, Clear Lake, IA 50428-2606 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779283 | Melinda Heverly | Family Medicine | 6343 Sutton Dr, Urbandale, IA 50322-8053 | 2020-10-31 |
| 1215536636 | Darcie Marie Cook | Family Medicine | 8285 Turkey Valley Ln, Dubuque, IA 52003-9749 | 2020-10-19 |
| 1740896828 | Lisa Marie Swanson | Family Medicine | 1609 N Ankeny Blvd # 200, Ankeny, IA 50023-4159 | 2020-09-23 |
| 1003421959 | Elizabeth Ann Myhr | Family Medicine | 2680 Ne 102nd Ave, Ankeny, IA 50021-9224 | 2020-09-08 |
| 1407465917 | Qv Urgent Care Ia Pllc | Family Medicine | 801 North Grand Avenue, Mt. Pleasant, IA 52641 | 2020-07-30 |
| 1871101246 | Des Moines Regenerative Medicine Pllc | Family Medicine | 5901 Westown Pkwy Ste 220, West Des Moines, IA 50266-8297 | 2020-07-21 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1689291411 | Katie Weigel | Family Medicine | 635 W Washington St, Winthrop, IA 50682-9356 | 2020-06-27 |
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1235764424 | Amber Dawn Hartman | Family Medicine | 20671 42nd St, Anamosa, IA 52205-7735 | 2020-03-08 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
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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.