DR. MATTHEW JUSTIN BRUNER (NPI# 1386798189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386798189 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JUSTIN BRUNER |
| Credential | D.O. |
| Practice Address |
1235 E Cherokee St Springfield MO 65804-2203 |
| Practice Telephone | 4179820168 |
| Practice Fax Number | 4178208852 |
| Mailing Telephone | 4179820168 |
| Mailing Fax Number | 4178208852 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2005025705 | MO | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 05-34533 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1386798189 | 05 | |
| OK | 200662760A | 05 | |
| MO | RAIL ROAD MEDICARE | P01787086 | 01 |
| AR | 216316003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104486463 | Matthew Bruner | Internal Medicine | 162 Ashley Ave Rm 202, Charleston, SC 29425-8907 | 2019-06-19 |
| 1861971087 | Matthew Bruner | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-08-08 |
| 1487761466 | Matthew Raymond Bruner | Obstetrics & Gynecology | 3911 Avenue B, Suite 3100, Scottsbluff, NE 69361-4617 | 2006-08-24 |
| 1013994292 | Matthew Kawabori Bruner | Dentist | 1 Jarrett White Road, Attn: Mcds-nh Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5000 | 2005-12-28 |
| Street Address |
1235 E CHEROKEE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600284 | Maria J Brazil | Anesthesiology | 1235 E Cherokee St, Anesthesia, Springfield, MO 65804-2203 | 2005-06-22 |
| 1275155533 | Kevin Painter | Technician/Technologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-05-10 |
| 1023638939 | Rebecca Sue Holcomb | Dietitian, Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-04-21 |
| 1508486895 | Matthew Austin Myers | Pharmacist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-04-16 |
| 1013544477 | Virginia Mclaughlin | Speech-Language Pathologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-03-25 |
| 1265068134 | Alissa Leirer | Speech-Language Pathologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-03-23 |
| 1558994848 | Karla Guinter | Pharmacist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-02-15 |
| 1760037766 | Anya Illyuk | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-08-06 |
| 1346892122 | Bradley Sean Chapman | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-07-12 |
| 1942852959 | Alison Atherton | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780039420 | Apex Anesthesia Associates LLC | Anesthesiology | 65 Springfield Ave, 1st Floor, Springfield, NJ 07081-1308 | 2016-05-02 |
| 1871992792 | Queen City Anesthesia Group, LLC | Anesthesiology | 3901 S Fremont Ave, Springfield, MO 65804-6538 | 2014-08-15 |
| 1588009492 | Donald Walter Claeys | Anesthesiology | 34454 Mckenzie View Dr, Springfield, OR 97478-9738 | 2013-05-06 |
| 1225268204 | Nandakumar Ponnusamy | Anesthesiology | Bay State Medical Ctr, 759 Chestnut Street, Springfield, MA 01199-0001 | 2009-07-23 |
| 1346498136 | Deborah Lynne Wirsing | Anesthesiology | 939 Harlow Rd Ste 110, Springfield, OR 97477-1190 | 2008-09-04 |
| 1346391778 | Gregg Joseph Salathe | Anesthesiology | 5173 S Virginia Ave, Springfield, MO 65810-2863 | 2007-01-14 |
| 1891887048 | Kamel Abraham | Anesthesiology | 1117 E Home Rd, Springfield, OH 45503-2725 | 2006-09-28 |
| 1700990603 | Florence E Odutola | Anesthesiology | Mercy Medical Ctr, 271 Carew Street, Springfield, MA 01104 | 2006-08-18 |
| 1679503437 | Michael E. Mehrer | Anesthesiology | 3801 S. National, Springfield, MO 65807 | 2006-07-04 |
| 1275508574 | Charles Milton Cook | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. MATTHEW JUSTIN BRUNER.
| 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.