MR. BART ALLEN BRUNDAGE (NPI# 1184700502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184700502 |
| Entity Type | Individual |
| Full Name | MR. BART ALLEN BRUNDAGE |
| Credential | DC |
| Practice Address |
8 Banta St Suite 406 Phelps NY 14532 |
| Practice Telephone | 3155482225 |
| Practice Fax Number | 7166728711 |
| Mailing Telephone | 3155482225 |
| Mailing Fax Number | 7166728711 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0097511 | NY | Chiropractic Providers |
| Street Address |
8 BANTA ST SUITE 406 |
| City | PHELPS |
| State | NY |
| Zip Code | 14532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023078847 | Emanuel Y Li | Family Medicine | 8 Banta St, Cmplex C, Suite 409, Phelps, NY 14532-1083 | 2006-03-24 |
| 1861574287 | Emanuel Y Li, Md PC | Specialist | 8 Banta St, Cmplex C - Suite 409, Phelps, NY 14532-1083 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591484 | Marcia Laki Wright | Licensed Vocational Nurse | 500, 500 Hahnemann Trail, Pittsford, NY 14532 | 2020-06-08 |
| 1306471792 | Amanda Ferrell | Licensed Vocational Nurse | 1196 County 23 Lot 7, Phelps, NY 14532 | 2020-03-06 |
| 1639662026 | Melissa Lee Tillman | Licensed Practical Nurse | 1044 Mcivor Road, Phelps, NY 14532 | 2018-06-11 |
| 1033569736 | State of New York Comptrollers Office | Clinic/Center | 144 W Main St, Phelps, NY 14532 | 2016-06-14 |
| 1942675558 | Patricia Ann Oneil | Licensed Practical Nurse | 10 Exchange St, Phelps, NY 14532-1010 | 2015-12-08 |
| 1215208756 | Leslie A Brew | Licensed Practical Nurse | 122 Main St, Phelps, NY 14532-1017 | 2012-01-13 |
| 1366754103 | Phelps Hometown Pharmacy LLC | Pharmacy | 110 Main St, Phelps, NY 14532-1017 | 2010-07-09 |
| 1336463926 | Dorothy Jean Button Meath | Pharmacist | 110 Main St, Phelps, NY 14532-1017 | 2010-03-25 |
| 1750406054 | Lawrence J Casey | Pharmacist | 110 Main St, Phelps, NY 14532-1017 | 2007-03-19 |
| 1184765323 | Whitson Pharmacy, Inc. | Pharmacy | 110 Main St, Phelps, NY 14532-1017 | 2007-02-09 |
| Find all providers in zip 14532 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.