LAWRENCE MICHAEL BRUNER JR. (NPI# 1083104350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083104350 |
| Entity Type | Individual |
| Full Name | LAWRENCE MICHAEL BRUNER JR. |
| Credential | NP-C |
| Practice Address |
1061 Dowdy Rd Athens GA 30606 |
| Mailing Address |
1061 Dowdy Rd Athens GA 30606-5700 |
| Practice Telephone | 7066217575 |
| Mailing Telephone | 7066217575 |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN224987 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 Howell Ferry Rd, Duluth, GA 300963178 | 6783126757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869426 | Lawrence M Bruner | Dentist | 2502 Abarr Dr, Loveland, CO 80538 | 2008-07-24 |
| Street Address |
1061 DOWDY RD |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003854738 | Brent Alan Beaird | Emergency Medicine | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2006-06-03 |
| 1639683790 | Scott Harpold | Nurse Practitioner | 1061 Dowdy Rd, Athens, GA 30606-5700 | 2017-11-28 |
| 1770942732 | Jesse Smith | Nurse Practitioner | 1061 Dowdy Rd, Suite 101, Athens, GA 30606-5700 | 2016-02-18 |
| 1295105492 | Pusparani Panda | Nurse Practitioner | 1061 Dowdy Rd, Suite 101, Athens, GA 30606-5700 | 2015-09-30 |
| 1902288939 | Kellie Casey | Nurse Practitioner | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2015-06-25 |
| 1407238405 | Epps Bridge Pediatrics, LLC | Pediatrics | 1061 Dowdy Rd, 202, Athens, GA 30606-5700 | 2015-06-25 |
| 1982093902 | Donna Jean Mathis | Physician Assistant | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2015-01-14 |
| 1245655281 | Audiology Rehabilitation Services | Hearing Aid Equipment | 1061 Dowdy Rd, Suite 204, Athens, GA 30606-5700 | 2014-02-27 |
| 1568705135 | Malini Kancharla Reddy | Internal Medicine | 1061 Dowdy Rd, Ste 100, Athens, GA 30606 | 2013-04-02 |
| 1629331707 | Blair Leigh White | Physician Assistant | 1061 Dowdy Rd, Suite 100 and 101, Athens, GA 30606-5700 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1831706449 | Melissa Mason | Nurse Practitioner | 700 Oglethorpe Ave # C7, Athens, GA 30606-2221 | 2020-09-28 |
| 1972117992 | Kei Martin | Nurse Practitioner | 25569 Evergreen Ln, Athens, AL 35613-6162 | 2020-09-08 |
| 1699315192 | Paul Stewart | Nurse Practitioner | 906 Rolling Dr, Athens, TX 75751-2944 | 2020-01-13 |
| 1679118616 | Erica Lyn Prater | Nurse Practitioner | 445 Providence Rd, Athens, GA 30606-1933 | 2019-11-13 |
| 1932758828 | Paula White | Nurse Practitioner | 12 Walcon Ln Apt 2, Athens, TN 37303-3764 | 2019-09-04 |
| 1114574621 | April Lee White | Nurse Practitioner | 3655 Whiteoak Creek Rd, Athens, WV 24712-9628 | 2019-08-20 |
| 1255988937 | Brandi Jones | Nurse Practitioner | 115 Medical Cir Ste 100, Athens, TX 75751-9004 | 2019-08-19 |
| 1467008128 | Erica Denise Long | Nurse Practitioner | 220 S Jackson St, Athens, TN 37303-4713 | 2019-08-16 |
| 1215598131 | Patricia Ann Torres | Nurse Practitioner | 494 Baxter St, Athens, GA 30605-1172 | 2019-06-21 |
| Find all providers in ATHENS | ||||
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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.