DR. HAROLD JAY BRUNINGA (NPI# 1912975160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912975160 |
| Entity Type | Individual |
| Full Name | DR. HAROLD JAY BRUNINGA |
| Credential | M.D. |
| Practice Address |
900 Capital Airport Dr Springfield IL 62707-8410 |
| Mailing Address |
2125 Southbrooke Rd Jacksonville IL 62650-9201 |
| Practice Telephone | 2174737386 |
| Practice Fax Number | 2174737386 |
| Mailing Telephone | 2172437274 |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2018-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 036073892 | IL | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
036073892 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
900 CAPITAL AIRPORT DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62707-8410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982044889 | Stouffer Clinical Counseling & Consulting LLC | Community/Behavioral Health | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
| 1407296395 | Kevin R Stouffer | Counselor | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730405051 | Bret Lee Miller | Pharmacist | 3250 Clear Lake Ave, Springfield, IL 62707 | 2010-04-12 |
| 1740402890 | Bennie Joe Manley | Counselor | 3200 Shaler Road, Springfield, IL 62707 | 2007-05-02 |
| 1568493336 | Andrea N. Johnson | Counselor | 3270 Moore Rd, Springfield, IL 62707-2515 | 2006-07-06 |
| 1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
| 1205050192 | Amaretta Marie Gilmer | Speech-Language Pathologist | 4046 Mcconnell Ct, Springfield, IL 62707-3018 | 2007-04-12 |
| 1376766204 | Marcia H. Bunchman | Speech-Language Pathologist | 34 Cabin Smoke Trl, Springfield, IL 62707-4509 | 2007-04-10 |
| 1205027026 | Christie M Davis | Physical Therapist | 51 Frontier Lake Dr, Springfield, IL 62707-7726 | 2007-08-06 |
| 1841810512 | Kathleen Dawn Nicholson-schahl | Occupational Therapist | 920 Estill Dr, Springfield, IL 62707-8561 | 2020-04-22 |
| 1013389998 | Sarah Teague | Physical Therapy Assistant | 631 Foxtail Ln, Springfield, IL 62707-8596 | 2015-10-30 |
| 1972716033 | Joshua Ellison | Family Medicine | 3220 Atlanta St, Springfield, IL 62707-8801 | 2007-05-07 |
| Find all providers in zip 62707 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245795293 | Anthony William Kitslaar | Preventive Medicine | 1250 Executive Pl Ste 403, Geneva, IL 60134-2482 | 2019-02-04 |
| 1700020302 | Mathew Francis Dumstorf | Preventive Medicine | 2300 E Devon Ave, Suite 439, Des Plaines, IL 60018-4696 | 2009-04-27 |
| 1407030596 | Ruth Martens | Preventive Medicine | 1913 Gladstone Dr, Wheaton, IL 60187-8123 | 2007-12-25 |
| 1619958170 | Nicholas G Lezama | Preventive Medicine | 901 Thornbury Pl, O Fallon, IL 62269-6811 | 2005-11-10 |
| 1760814040 | Marvin William Jackson | Preventive Medicine | 2300 E Devon Ave, Suite 427, Des Plaines, IL 60018-4696 | 2013-08-08 |
| 1013173137 | Frederick Allen Hauser Jr. | Preventive Medicine | Rock Island Arsenal Health Clinic (riahc), Bldg 110 (basement), Rock Island, IL 61299-7240 | 2008-07-29 |
| 1841345865 | Patrick David Lowry | Preventive Medicine | 203 W Losey St, Bldg 1700, Rm 1600, Scott Afb, IL 62225-5212 | 2007-01-23 |
| City | SPRINGFIELD |
| Zip Code | 62707 |
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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.