DR. GERALD CARL BRUNDO (NPI# 1811415375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811415375 |
| Entity Type | Individual |
| Full Name | DR. GERALD CARL BRUNDO |
| Credential | DDS |
| Practice Address |
2500 California Plaza School of Dentistry Creighton University Omaha NE 68178 |
| Mailing Address |
9827 Bloomfield Dr Omaha NE 68114-2117 |
| Practice Telephone | 4022805990 |
| Mailing Telephone | 4023931310 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3975 | NE | Dental Providers |
| Street Address |
2500 CALIFORNIA PLAZA SCHOOL OF DENTISTRY CREIGHTON UNIVERSITY |
| City | OMAHA |
| State | NE |
| Zip Code | 68178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033611330 | Deborah Kay Belik | Specialist/Technologist | 2500 California Plaza, Omaha, NE 68178-0133 | 2018-03-02 |
| 1710486790 | Curtis Daniel Self | Specialist/Technologist | 2500 California Plaza, Omaha, NE 68178 | 2018-02-06 |
| 1669981338 | Ashley Nicole Aubry | Dental Hygienist | 2500 California Plaza, Omaha, NE 68178 | 2017-09-26 |
| 1629587449 | Kelly A Gould | Dental Hygienist | 2500 California Plaza, Omaha, NE 68178 | 2017-09-25 |
| 1790203941 | Lucinda Rose Carroll | Dentist | 2500 California Plaza, Omaha, NE 68178-0212 | 2017-09-07 |
| 1104082213 | Nicholas Jay Levering | Dentist | 2500 California Plaza, Creighton University School of Dentistry, Omaha, NE 68178 | 2008-07-29 |
| 1902920986 | Samuel Augustine | Pharmacist | 2500 California Plaza, Cu - Spahp Hixson Lied Science Building Rm 153, Omaha, NE 68178 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790993251 | Karen Anne Paschal | Physical Therapist | Department of Physical Therapy, Creighton University, 2500 California Plaza, Omaha, NE 68178 | 2007-05-18 |
| 1134499825 | Judith R Gale | Physical Therapist | 2500 California Plz, Creighton Pt, Harper Center, Fitnest Level 1, Omaha, NE 68178 | 2012-01-11 |
| 1245744101 | Aaron Michael Haselhorst | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68178-0001 | 2017-11-29 |
| 1407139132 | Creighton Universtity | Clinic/Center | 2500 Claifornia Plz, Omaha, NE 68178-0001 | 2011-09-20 |
| 1336396514 | Melinda Kay Graham-hinners | Psychologist | 602 N 20th Ste 1034, Creighton University, Center for Health & Counseling, Omaha, NE 68178-0001 | 2008-08-19 |
| 1528266012 | Michael Monaghan | Pharmacist | Creighton University Medical Center School of Pharmacy, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-07-05 |
| 1659593242 | Lorraine Baas Rubarth | Nurse Practitioner | Creighton University School of Nursing, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-05-03 |
| 1063533479 | Lawrence Calvin Parrish | Dentist | Creighton University School of Dentistry, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-04-03 |
| 1366501058 | Mark A Malesker | Pharmacist | Creighton University Medical Ctr, 2500 California Plaza, Omaha, NE 68178-0001 | 2006-12-08 |
| 1760426258 | Matthew Edwin Wallace | Specialist/Technologist | Creighton Uniuversity, 2500 California Plaza, Omaha, NE 68178-0001 | 2006-06-15 |
| Find all providers in zip 68178 | ||||
| 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 |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| Find all providers in OMAHA | ||||
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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.