E. BRUNS FOOT & ANKLE, SC (NPI# 1821140864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821140864 |
Entity Type | Organization |
Organization Name | E. BRUNS FOOT & ANKLE, SC |
Practice Address |
160 E Geneva Sq Lake Geneva WI 53147-9694 |
Practice Telephone | 2622489565 |
Practice Fax Number | 2622480065 |
Mailing Telephone | 2622489565 |
Mailing Fax Number | 2622480065 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2008-05-30 |
Authorized Official Name | DR. ERIC C BRUNS (OWNER) |
Authorized Official Telephone | 2622489565 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
648025 | WI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43215500 | 05 |
Street Address |
160 E GENEVA SQ |
City | LAKE GENEVA |
State | WI |
Zip Code | 53147-9694 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467446989 | Craig Alan Luebke | Social Worker | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2005-09-12 |
1548564016 | E Bruns Foot and Ankle Sc | Podiatrist | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2010-12-27 |
1801026935 | Greentree Counseling LLC | Social Worker | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2009-07-23 |
1588751853 | O'connell, Long and Associates Counseling Services | Community/Behavioral Health | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2006-10-06 |
1598730459 | Eric Carl Bruns | Podiatrist | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2006-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
Find all providers in zip 53147 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548564016 | E Bruns Foot and Ankle Sc | Podiatrist | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2010-12-27 |
1598730459 | Eric Carl Bruns | Podiatrist | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2006-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
Find all providers with the same taxonomy |
City | LAKE GENEVA |
Zip Code | 53147 |
Please comment or provide details below to improve the information on E. BRUNS FOOT & ANKLE, SC.
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.