CLARENCE JARON BRUNSON (NPI# 1851556229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851556229 |
| Entity Type | Individual |
| Full Name | CLARENCE JARON BRUNSON |
| Credential | MD |
| Practice Address |
701 Lewiston St Cottonwood ID 83522-9750 |
| Practice Telephone | 2089623251 |
| Practice Fax Number | 2089622313 |
| Mailing Telephone | 2089623251 |
| Mailing Fax Number | 2089622313 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 6254 | CO | Chiropractic Providers |
| Y | 207Q00000X | Family Medicine | M-13372 | ID | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | M-13372 | ID | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1851556229 | 05 |
| Street Address |
701 LEWISTON ST |
| City | COTTONWOOD |
| State | ID |
| Zip Code | 83522-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940232 | Haley J Minnehan | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2005-05-24 |
| 1558995829 | Patrick Ross Hulan | Physical Therapist | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2020-02-26 |
| 1356794721 | Kevin Lienesch | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2016-07-20 |
| 1740639541 | Justin Leroy Jones | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2016-06-13 |
| 1164759379 | Rebecca S Kirk-ewing | Registered Nurse | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2009-11-09 |
| 1992994024 | St. Mary's Hospital Pharmacy | Pharmacy | 701 Lewiston St, Cottonwood, ID 83522 | 2007-10-15 |
| 1245433739 | St. Mary's Hospital | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-06-11 |
| 1003948845 | Bernadette Jamie Rundhaug | Counselor | 701 Lewiston St, Cottonwood, ID 83522 | 2007-03-09 |
| 1114076635 | Richard A Erickson | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-01-10 |
| 1578612065 | Dennis W Tracy | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689084659 | Denise Marie Nuxoll | Pharmacist | 429 Main, Cottonwood, ID 83522 | 2014-04-30 |
| 1376711416 | Sherry Lynn Riener | Midwife | 502 King Street, Cottonwood, ID 83522 | 2008-02-12 |
| 1629114905 | Cottonwood Jt Sch Dist | Local Education Agency (LEA) | 907 Lewiston Street, Cottonwood, ID 83522 | 2007-01-30 |
| 1902980121 | Arnzen Super Drug, Inc. | Pharmacy | 429 Main Street, Cottonwood, ID 83522 | 2006-10-24 |
| 1629047931 | John Douglas Trueblood | Physician Assistant | 701 Lewiston Street, Cottonwood, ID 83522 | 2006-03-17 |
| 1124442421 | Carletta Jean Allen | Speech-Language Pathologist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-02-07 |
| 1376965319 | Jamie Scheffler | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-01-10 |
| 1639482888 | Scarlett Jo Uhlenkott | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522 | 2010-07-16 |
| 1457665945 | Providence Health & Services | Internal Medicine | 701 Lewiston Street, Cottonwood, ID 83522-0000 | 2010-07-27 |
| 1053309971 | Obbie T Atkinson | Family Medicine | 701 Lewiston Street, Cottonwood, ID 83522-0000 | 2005-10-13 |
| Find all providers in zip 83522 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1407928401 | William C Stonecipher | Family Medicine | 203 S Candy Ln Ste 13a, Cottonwood, AZ 86326-8113 | 2006-11-14 |
| 1497851067 | Malcolm Wilkinson, Md | Family Medicine | 300 S Willard St, Ste 101, Cottonwood, AZ 86326-4159 | 2006-09-14 |
| 1578585519 | Juneau D Stump Jr Md PC | Family Medicine | 18 E Beech St, Cottonwood, AZ 86326-4134 | 2006-07-25 |
| 1790722643 | Curtis G Kommer | Family Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2006-05-31 |
| 1568454353 | Cottonwood Medical Group | Family Medicine | 20633 Gas Point Rd, Cottonwood, CA 96022-9296 | 2005-08-17 |
| 1336146059 | Marvin L Colvin | Family Medicine | 753 N Main St, Ste. A, Cottonwood, AZ 86326-3649 | 2005-07-07 |
| 1316940232 | Haley J Minnehan | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2005-05-24 |
| 1740283555 | Andrew F Jones | Family Medicine | 1775 Keuterville Road, Cottonwood, ID 83522-9750 | 2005-05-24 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 83522 |
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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.