MATTHEW HERBERT BRUNTEL (NPI# 1114102134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114102134 |
| Entity Type | Individual |
| Full Name | MATTHEW HERBERT BRUNTEL |
| Credential | D.O. |
| Practice Address |
15245 Shady Grove Rd Ste 130 Rockville MD 20850 |
| Mailing Address |
11100 Powder Horn Dr Potomac MD 20854-2539 |
| Practice Telephone | 3015271650 |
| Mailing Telephone | 2026041405 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS014243 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 020449800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 604 Solarex Ct, Suite 205, Frederick, MD 217037005 | 3016982511 | 3016982544 |
| Street Address |
15245 SHADY GROVE RD STE 130 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913380 | Nicole Njijen Nwafor I | Nurse Practitioner | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 | 2020-02-11 |
| 1528600038 | Sara Watson | Registered Nurse | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 | 2019-10-16 |
| 1144704735 | Avneet Kaur | Nurse Practitioner | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 | 2018-09-19 |
| 1164936266 | Jinhyun Hwang | Nurse Practitioner | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 | 2017-11-28 |
| 1912420811 | Carol Ann Dodson | Nurse Practitioner | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 | 2017-07-23 |
| 1306070370 | Nina Rajaei | Physical Medicine & Rehabilitation | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134742695 | Dura Internal Medicine Limited Liability Company | Internal Medicine | 15225 Shady Grove Rd Ste 103, Rockville, MD 20850-3252 | 2020-05-19 |
| 1457973026 | Zeus Primary Care Associates LLC | Internal Medicine | 4701 Randolph Rd Ste 209a, Rockville, MD 20852-2257 | 2020-05-17 |
| 1316509904 | Brandi Michele Hurwitz | Internal Medicine | 1 Taft Ct, Rockville, MD 20850-5313 | 2019-07-03 |
| 1205345782 | Vetfed Carenet | Internal Medicine | 15201 Diamondback Dr Ste 125, Rockville, MD 20850-3695 | 2017-09-27 |
| 1285086637 | Namrata Paul | Internal Medicine | 5517 Alderbrook Ct Apt 204, Rockville, MD 20851-2416 | 2016-07-11 |
| 1093159279 | Nilesh Tejura | Internal Medicine | 10110 Molecular Dr Ste 105, Rockville, MD 20850-7538 | 2013-04-18 |
| 1922366848 | Michael Kaleko | Internal Medicine | 8 Hearthstone Ct, Rockville, MD 20854-2644 | 2012-04-28 |
| 1225304926 | Meha Varma | Internal Medicine | 11125 Rockville Pike Ste 110, Rockville, MD 20852-3142 | 2012-03-27 |
| 1609146455 | Optimal Medical Care Inc | Internal Medicine | 11119 Rockville Pike Ste 316, Rockville, MD 20852-3143 | 2012-01-11 |
| 1285920967 | Anthony Bernard Campbell | Internal Medicine | 1 Choke Cherry Rd, Rockville, MD 20850-4084 | 2011-06-22 |
| Find all providers in ROCKVILLE | ||||
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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.