KERSTI M BRUINING MD PLLC (NPI# 1588778088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588778088 |
| Entity Type | Organization |
| Organization Name | KERSTI M BRUINING MD PLLC |
| Practice Address |
1213 W Front St Traverse City MI 49684-2317 |
| Practice Telephone | 2319350386 |
| Practice Fax Number | 2319350387 |
| Mailing Telephone | 2319350386 |
| Mailing Fax Number | 2319350387 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-01-11 |
| Authorized Official Name | KERSTI BRUINING (OWNER) |
| Authorized Official Telephone | 2319350386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301062455 | MI | Other Service Providers |
| Street Address |
1213 W FRONT ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801802822 | Gary Edward Stauffer | Social Worker | 1213 W Front St, Traverse City, MI 49684-2317 | 2006-07-31 |
| 1326413196 | Attitude Adjustments | Mechanotherapist | 1213 W Front St, Traverse City, MI 49684-2317 | 2015-12-04 |
| 1538543913 | Crystal Lake Clinic P.C. | Family Medicine | 1213 W Front St, Traverse City, MI 49684-2317 | 2015-07-15 |
| 1760884472 | Heidi Fleming Chandler | Mechanotherapist | 1213 W Front St, Traverse City, MI 49684 | 2014-09-24 |
| 1235483892 | Brian J Chandler Dc | Chiropractor | 1213 W Front St, Traverse City, MI 49684-2317 | 2012-11-05 |
| 1598014177 | Brian Jeffery Chandler | Chiropractor | 1213 W Front St, Traverse City, MI 49684-2317 | 2012-08-29 |
| 1265609960 | Memory and Movement Disorders Clinic, Pllc | Social Worker | 1213 W Front St, Traverse City, MI 49684-2317 | 2008-05-12 |
| 1215041702 | Shelly Clemens-gray, Lmsw, LLC | Social Worker | 1213 W Front St, Traverse City, MI 49684-2317 | 2006-08-19 |
| 1669586277 | Michelle Rose Clemens-gray | Social Worker | 1213 W Front St, Traverse City, MI 49684-2317 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316358385 | Jp Center for Plastic Surgery PC | Specialist | 3529 West Front St, Jp Center for Plastic Surgery PC, Traverse City, MI 49684 | 2014-05-13 |
| 1306082755 | Bay Area Dermatology | Specialist | 999 Sixth St, Traverse City, MI 49684-2301 | 2009-01-06 |
| 1487744496 | Dr Luis Felix Oxholm PC | Specialist | 4020 Copper View Dr., Suite 211, Traverse City, MI 49684-7098 | 2006-10-13 |
| 1225142854 | Diane Parsons, Md, Pllc | Specialist | 3537 W Front St Ste A, Traverse City, MI 49684-7942 | 2006-08-19 |
| 1538158688 | Cornelius Robens | Specialist | 3865 W Front St Ste 4, Traverse City, MI 49684 | 2005-10-20 |
| 1558364315 | Kersti Bruining | Specialist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2005-05-24 |
| 1851646947 | William J. Mccool | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2012-07-16 |
| 1033424619 | Natalie Rose Ramsey | Specialist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2010-08-08 |
| 1497070502 | Dr. Heather K. Lee, D.o., Pllc | Specialist | 3537 W Front St Ste A, Traverse City, MI 49684-7942 | 2010-03-31 |
| 1952532863 | Munson Medical Center | Specialist | 1104 Cass St, Traverse City, MI 49684-3236 | 2009-07-28 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on KERSTI M BRUINING MD PLLC.
| 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.