JONATHAN BRUNSON (NPI# 1184823643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184823643 |
| Entity Type | Individual |
| Full Name | JONATHAN BRUNSON |
| Other Name | MATT BRUNSON |
| Credential | M.D. |
| Practice Address |
350 Heritage Way Ste 2100 Kalispell MT 59901-3167 |
| Practice Telephone | (406) 257-8992 |
| Practice Fax Number | 4062578996 |
| Mailing Telephone | 4062578992 |
| Mailing Fax Number | 4062578996 |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
41013 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
350 HERITAGE WAY STE 2100 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089705 | Shelley Dawn Dugan | Physician Assistant | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2005-11-09 |
| 1922633205 | Sierra Langstaff | Pharmacist | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2020-03-07 |
| 1104386374 | Desiree Nicole Caro | Nurse Practitioner | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2019-03-22 |
| 1558837708 | Brady James Conner | Pharmacist | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2018-10-15 |
| 1932680642 | Kalispell Regional Medical Center, Inc. | Clinic/Center | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2018-08-22 |
| 1609377803 | Aimee Zupicich | Nurse Practitioner | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2018-02-22 |
| 1699292615 | Kira Kitchens | Nurse Practitioner | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2017-08-30 |
| 1609326016 | Paula Joann Brooks | Nurse Practitioner | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 | 2016-10-10 |
| 1447627039 | Jocelyn Oblizajek | Nurse Practitioner | 350 Heritage Way Ste 2100, Kalispell, MT 59901 | 2015-08-31 |
| 1659767721 | Kalispell Regional Medical Center Inc | Internal Medicine | 350 Heritage Way Ste 2100, Kalispell, MT 59901 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1205152469 | William Frederick Dresen IIi | Internal Medicine | 801 N 29th St, Billings, MT 59101 | 2010-04-13 |
| 1013181833 | Simone Musco | Internal Medicine | 500 W Broadway St, Ste 320, Missoula, MT 59802-4008 | 2008-04-14 |
| 1942414594 | Loren P Budge | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2007-05-10 |
| 1992804843 | Alan R. Thometz | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2006-09-21 |
| 1427096585 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Suite 320, Missoula, MT 59802 | 2006-06-02 |
| 1831149269 | Patricia Anne Kelly | Internal Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2006-05-10 |
Please comment or provide details below to improve the information on JONATHAN BRUNSON.
| 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.