Jeffrey Marc Bruner (NPI# 1215955422, PAC ID# 8729272174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1215955422 |
| PAC ID by PECOS | 8729272174 |
| Professional Enrollment ID | I20101030000091 |
| Full Name | Jeffrey Marc Bruner |
| Organization Legal Name | JEFFREY M. BRUNER, D.O., P.C. |
| Address |
42607 Garfield Rd Clinton Township MI 48038-1653 |
| Phone Number | 5862869010 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 7810181260 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 42607 Garfield Rd, Clinton Township, MI 48038-1653 | 5862869010 | JEFFREY M. BRUNER, D.O., P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | JEFFREY M. BRUNER, D.O., P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda A Thomas | Physician Assistant | Jeffrey M. Bruner, D.o., P.C. | 42607 Garfield Rd, Clinton Township, MI 48038-1653 |
| John A Frith | Allergy/immunology | Jeffrey M. Bruner, D.o., P.C. | 42607 Garfield Rd, Clinton Township, MI 48038-1653 |
| Street Address |
42607 GARFIELD RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48038-1653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda A Thomas | Physician Assistant | Jeffrey M. Bruner, D.o., P.C. | 42607 Garfield Rd, Clinton Township, MI 48038-1653 |
| John A Frith | Allergy/immunology | Jeffrey M. Bruner, D.o., P.C. | 42607 Garfield Rd, Clinton Township, MI 48038-1653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | CLINTON TOWNSHIP + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Jeffrey Marc Bruner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.