DR. JACK G BRUNER (NPI# 1952451759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952451759 |
| Entity Type | Individual |
| Full Name | DR. JACK G BRUNER |
| Credential | M.D. |
| Practice Address |
2801 K St Ste 200 Sacramento CA 95816-5118 |
| Practice Telephone | 9164535958 |
| Practice Fax Number | 9167338290 |
| Mailing Telephone | 9164535958 |
| Mailing Fax Number | 9167338290 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G9831 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607669 | Jack Casteel Bruner II | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2005-05-24 |
| Street Address |
2801 K ST STE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215357215 | Sanam Zahedi | Plastic Surgery | 2221 Stockton Blvd Ste 1100, Sacramento, CA 95817-1418 | 2014-04-17 |
| 1013215946 | James Patrick Hamill | Plastic Surgery | 1031 Wilhaggin Park Ln, Sacramento, CA 95864-5376 | 2011-03-01 |
| 1629303177 | Chetan Shawn Irwin | Plastic Surgery | Shriners Hospital of Children - Northern California, 2425 Stockton Blvd., Suite 517, Sacramento, CA 95817-2215 | 2009-10-15 |
| 1982861753 | Joseph R. Coscia | Plastic Surgery | 95 Scripps Drive, Sacramento, CA 95825-6320 | 2008-05-20 |
| 1558433573 | Donald Richard Jasper | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-14 |
| 1992883664 | Charles W. Perry | Plastic Surgery | 785 University Ave, Chrysalis Cosmetics, Sacramento, CA 95825-6708 | 2006-11-01 |
| 1629034558 | Lee L. Q. Pu | Plastic Surgery | 2221 Stockton Blvd., First Floor, Sacramento, CA 95817 | 2006-04-20 |
| 1669880548 | Peter Kwan | Plastic Surgery | 2425 Stockton Blvd, Office 718, Sacramento, CA 95817-2215 | 2014-07-23 |
| 1730452525 | Maria Chacon Gomez | Plastic Surgery | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2012-02-10 |
| 1356573570 | Andrew Li | Plastic Surgery | 2315 Stockton Blvd. - Department of Surgery, Naob Suite 6003, Sacramento, CA 95817-2201 | 2009-08-20 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.