HARLAN JASON BRUNER (NPI# 1487826079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487826079 |
| Entity Type | Individual |
| Full Name | HARLAN JASON BRUNER |
| Credential | M.D. |
| Practice Address |
2142 W Broad St Building 100, Ste 200 Athens GA 30606-3506 |
| Mailing Address |
Po Box 48089 Athens GA 30604-8089 |
| Practice Telephone | 7065486881 |
| Practice Fax Number | 7065460821 |
| Mailing Telephone | 7063893740 |
| Mailing Fax Number | 7063893951 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 64902 | GA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 234690 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003106211A | 05 |
| Street Address |
2142 W BROAD ST BUILDING 100, STE 200 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804784 | Gary Richard Walton | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| 1770096034 | Rachel Victoria Treadwell | Nurse Practitioner | 2142 W Broad St, Athens, GA 30606 | 2017-11-08 |
| 1619428653 | Aubrey Trujillo | Nurse Practitioner | 2142 W Broad St, Bldg 100 Ste 200, Athens, GA 30606-3506 | 2016-10-14 |
| 1821541152 | Mary Olivia Clark | Physician Assistant | 2142 W Broad St, Bldg 100 Ste 200, Athens, GA 30606-3506 | 2016-08-03 |
| 1275985053 | Athens Area Urology- Ellison, Walton, and Byrne | Nurse Practitioner | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2016-07-06 |
| 1659763035 | Jaime Barrera | Nurse Practitioner | 2142 W Broad St, Bldg 200 Ste 200, Athens, GA 30606-3506 | 2015-02-23 |
| 1346663192 | Joseph Nathaniel Ingle | Physician Assistant | 2142 W Broad St, Bldg 100, Ste 200, Athens, GA 30606-3506 | 2014-01-30 |
| 1013256643 | Matthew David Kellar | Physical Therapist | 2142 W Broad St, Bldg 100, Ste 200, Athens, GA 30606-3506 | 2013-02-01 |
| 1427315845 | Traci Johns | Nurse Practitioner | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2012-04-23 |
| 1508135658 | Surgery Center of Athens LLC | Clinic/Center | 2142 W Broad St, Suite 100, Athens, GA 30606-3546 | 2011-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189591 | St. Mary's Medical Group, Inc. | Neurological Surgery | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2018-10-11 |
| 1326419649 | Kimberly Walpert, M.d., LLC | Neurological Surgery | 1199 Prince Ave, Medical Services Bldg, Second Floor, Athens, GA 30606-2797 | 2015-10-13 |
| 1467876516 | Athens Neurological | Neurological Surgery | 700 W Market St, Athens, AL 35611-2457 | 2014-02-10 |
| 1154663599 | Michael John Gelsomino | Neurological Surgery | 242 King Avenue, Suite 130, Athens, GA 30606 | 2013-03-25 |
| 1386930170 | Viren Sahai Vasudeva | Neurological Surgery | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2011-06-21 |
| 1144458662 | Michael Neil Woodall | Neurological Surgery | 2142 W Broad St, Bldg 100 Ste 200, Athens, GA 30606 | 2009-06-23 |
| 1073712899 | Neurological Associates, Inc | Neurological Surgery | 55 Hospital Dr, Athens, OH 45701-2302 | 2007-07-12 |
| 1003027905 | Shashikant Patil | Neurological Surgery | 1199 Prince Ave, Athens, GA 30606-2797 | 2007-05-24 |
| 1598788655 | Kimberly P Walpert | Neurological Surgery | 242 King Avenue, Msb Second Floor, Athens, GA 30606-1685 | 2006-07-26 |
| 1275554024 | John V Cuff | Neurological Surgery | 2142 W Broad St, Bldg 100 Suite 200, Athens, GA 30606-3506 | 2006-07-21 |
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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.