DR. BRANDON BLAINE BUNNAGE (NPI# 1952572174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952572174 |
| Entity Type | Individual |
| Full Name | DR. BRANDON BLAINE BUNNAGE |
| Credential | D.O. |
| Practice Address |
1100 Goethals Drive 2nd Floor Kadlec Clinic General & Colorectal Surgery Richland WA 99352-3304 |
| Mailing Address |
550 Gage Blvd Ste 101 Richland WA 99352-9532 |
| Practice Telephone | 5099423185 |
| Practice Fax Number | 5099461850 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5096272983 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OP60119141 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5101016461 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0261833 | 01 |
| Street Address |
1100 GOETHALS DRIVE 2ND FLOOR KADLEC CLINIC GENERAL & COLORECTAL SURGERY |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033169925 | Rodney Allan Graves | Podiatrist | 1100 Goethals Drive 2nd Floor, Kadlec Clinic Foot & Ankle, Richland, WA 99352-3304 | 2006-05-11 |
| 1164743720 | Brian Larry Freeman | Podiatrist | 1100 Goethals Drive 2nd Floor, Kadlec Clinic Foot & Ankle, Richland, WA 99352-3304 | 2010-06-17 |
| 1508966581 | Philip G Smith | Surgery | 1100 Goethals Drive 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352-3304 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154753135 | Richard A Mccartney | Surgery | 1608 Hains Ave, Richland, WA 99354-2630 | 2013-08-01 |
| 1215189535 | Anjali Savithri Kumar | Surgery | 780 Swift Blvd Fl 1, Richland, WA 99352 | 2008-10-17 |
| 1114186459 | Luay D Ailabouni | Surgery | 1100 Goethals Drive, 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352-3304 | 2008-06-02 |
| 1508930009 | Bruce W. Ayres, M.d., P.C. | Surgery | 800 Swift Blvd Ste 320, Richland, WA 99352-3579 | 2006-11-17 |
| 1730156985 | Thomas C Trotta | Surgery | 1100 Goethals Drive Ste D, Kadlec Clinic General Surgery, Richland, WA 99352 | 2006-03-07 |
| 1518943265 | Eugene S Lee | Surgery | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2005-12-15 |
| 1245674043 | Michael Vernon Parmley | Surgery | 888 Swift Blvd, Richland, WA 99352-3514 | 2013-04-23 |
| 1467713867 | Ruben Burbank | Surgery | 780 Swift Blvd Fl 1, Richland, WA 99352 | 2012-06-01 |
| 1891051314 | Dale G Wilson | Surgery | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2012-04-10 |
| 1811171317 | John T Droesch Md Pllc | Surgery | 969 Stevens Dr, Suite 1-c, Richland, WA 99352 | 2007-12-20 |
| Find all providers in RICHLAND | ||||
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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.