Douglas J. Brunner, M. D.

LBN: Douglas J. Brunner, M. D.
Douglas J. Brunner, M. D. is an health care organization with primary practice located at 175 E Chester Pike , Ridley Park PA 19078-2212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Douglas J. Brunner, M. D. can be contacted via phone (610) 595-6542, or through Brunner, Douglas J. via phone (610) 595-6521.

Contact Information

Primary practice address
175 E Chester Pike Ridley Park PA 19078-2212
Phone: (610) 595-6542
Fax: (610) 595-6077
Website:
Map and Directions
Authorized official contact:
Name: Brunner, Douglas J. Doctor of Medicine (MD)
Phone: (610) 595-6521

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD027564E Pennsylvania

Profile Details

NPI number 1891836276
LBN Legal business name Douglas J. Brunner, M. D.
DBA Doing business as
Authorized official Brunner, Douglas J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Oct 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891836276 NPPES
Pennsylvania Other 0142329000 IBC KEYSTONE/PERS CHOICE
Pennsylvania Other 884151 IBC KEYSTONE/PERS CHOICE
Pennsylvania MEDICAID 0009930450002 IBC KEYSTONE/PERS CHOICE
Pennsylvania Other 0099162 IBC KEYSTONE/PERS CHOICE
Pennsylvania Other DA5481 IBC KEYSTONE/PERS CHOICE
Pennsylvania Other 30018109 IBC KEYSTONE/PERS CHOICE

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