ROBERT L BRUNK II DO PC


Address: 505 Robinhood Ct, Valparaiso, IN 46385-8021
Phone: 2194654118

ROBERT L BRUNK II DO PC (NPI# 1790966331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790966331
Entity Type Organization
Organization Name ROBERT L BRUNK II DO PC
Practice Address 505 Robinhood Ct
Valparaiso
IN 46385-8021
Practice Telephone 2194654118
Practice Fax Number 2195483067
Mailing Telephone 2194654118
Mailing Fax Number 2195483067
Enumeration Date 2007-11-26
Last Update Date 2014-09-04
Authorized Official Name DR. ROBERT L BRUNK (OWNER)
Authorized Official Telephone 2194654118
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
02001839A IN Ambulatory Health Care Facilities

Office Location

Street Address 505 ROBINHOOD CT
City VALPARAISO
State IN
Zip Code 46385-8021

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1295254738 Tiffany Rudziewicz Massage Therapist 417 Center St., Valparaiso, IN 46385 2017-09-15
1700255866 Stephanie Ebsch Developmental Therapist 332 W Hwy 6, Valparaiso, IN 46385 2015-09-18
1851781637 Emily Bisch Specialist/Technologist 304 Alba Ct, Valaparaiso, IN 46385 2015-01-30
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1952715062 Emily Barnes Occupational Therapist 332 W. Hwy 6, Valparaiso, IN 46385 2014-06-17
1073853990 April M Sanders Social Worker 660 W. Morthland Dr, Valparraiso, IN 46385 2013-03-01
1245528843 Bridget K Sibo Social Worker 2453 Knights Bridge Drive, Valparaiso, IN 46385 2011-07-16
1053586883 Luis L Cuellar Jr. Dentist 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 2008-04-23
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1013191139 Maw Medicine PC Clinic/Center 802 Laporte Ave, Suite 102, Valparaiso, IN 46383-5860 2007-12-26

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1053657775 Earthen Vessels Nurse Midwifery LLC Clinic/Center 251 Airport North Office Park, Fort Wayne, IN 46825-6702 2012-12-27
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Competitor

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City VALPARAISO
Zip Code 46385

Improve Information

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Dataset Information

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.

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