DR. PHILLIP B BRUNER (NPI# 1598887085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598887085 |
Entity Type | Individual |
Full Name | DR. PHILLIP B BRUNER |
Credential | D.M.D. |
Practice Address |
400 Saraland Blvd N Suite A Saraland AL 36571-2152 |
Practice Telephone | 2516755861 |
Practice Fax Number | 2516755105 |
Mailing Telephone | 2516755861 |
Mailing Fax Number | 2516755105 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2010-07-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3573CS | AL | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | UNITED CONCORDIA INSURANC | 591870 | 01 |
AL | BLUE CROSS BLUE SHIELD OF | 510 90863 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114902590 | Phillip Mark Bruner | Specialist | 418 E Polk St, Washington, IA 52353-1237 | 2005-12-08 |
Street Address |
400 SARALAND BLVD N SUITE A |
City | SARALAND |
State | AL |
Zip Code | 36571-2152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013128875 | Bay Podiatry, L.L.C. | Clinic/Center | 400 Saraland Blvd N, Saraland, AL 36571-2152 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538717053 | Benchmark Physical Therapy of Alabama, LLC | Occupational Therapist | 41 Shell St, Saraland, AL 36571 | 2019-08-28 |
1902396682 | Sarah Elizabeth Wright | Physical Therapist | 41 Shell Street, Saraland, AL 36571 | 2018-05-17 |
1437532843 | Jkld LLC | Pharmacy | 106a Saraland Loop Rd, Saraland, AL 36571 | 2015-07-02 |
1760709893 | Taylor Internal Medicine of Mobile | Durable Medical Equipment & Medical Supplies | 18 C M Rambo Drive, Saraland, AL 36571 | 2010-04-29 |
1518103548 | Deborah Bernadette Rice | Counselor | 430 Norton Ave, Saraland, AL 36571 | 2008-12-22 |
1205965175 | Industrial Wellness Rehab, Inc | Physical Therapist | 627 Highway 43 South, Suite B, Saraland, AL 36571 | 2007-03-05 |
1619027679 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 951 Us 43 South, Saraland, AL 36571 | 2007-01-11 |
1447335526 | George H Burroughs | Chiropractor | 8-a Highway 43 N, Saraland, AL 36571 | 2006-10-26 |
1518048388 | Kathryn Knight-dopson | Durable Medical Equipment & Medical Supplies | 118b Highway 43 S, Saraland, AL 36571 | 2006-10-18 |
1104935915 | William R Bruner II | Dentist | 623 Highway 43 South, Suite A, Saraland, AL 36571 | 2006-08-29 |
Find all providers in zip 36571 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205250727 | Shelton Beach Dental Center Inc | Dentist | 623 Highway 43 S, Suite A, Saraland, AL 36571-3633 | 2014-02-05 |
1164511127 | Jerald Allen Dixon Jr. | Dentist | 224 Shelton Beach Rd, Saraland, AL 36571-2754 | 2006-10-11 |
1548375942 | Charles Joseph Keith | Dentist | 315 Saraland Blvd N, Suite C, Saraland, AL 36571-2101 | 2006-08-19 |
1952651580 | Comfort Dental of Saraland | Dentist | 1097 Industrial Pkwy, Saraland, AL 36571-3744 | 2012-09-11 |
1437380003 | Tessa Reid | Dentist | 1064 Industrial Pkwy, Saraland, AL 36571-3720 | 2009-07-30 |
1619042405 | Leo F. Ginn | Dentist | 1064 Industrial Pkwy, Saraland, AL 36571-3720 | 2006-11-21 |
1285716654 | John Green Jr. | Dentist | 1064 Industrial Pkwy, Saraland, AL 36571-3720 | 2006-10-19 |
1518059740 | Coutland Travis Farni | Dentist | 1064 Industrial Pkwy, Saraland, AL 36571-3720 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
1023615762 | Smart Dental Holdings LLC | Dentist | 4616 Montevallo Rd Ste 100, Irondale, AL 35210-3104 | 2020-10-06 |
1215548896 | Alexander Braden Plagenhoef | Dentist | 116 Watterson Pkwy, Trussville, AL 35173-2306 | 2020-08-16 |
1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
1346867389 | Smart Dental Holdings, LLC | Dentist | 925 Sharit Ave Ste 113, Gardendale, AL 35071-5001 | 2020-06-25 |
1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
1336765650 | Lauren Brooke Cabaniss | Dentist | 22727 Al-25, Columbiana, AL 35051 | 2020-06-23 |
1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
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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.