KERMIT B BRUNELLE (NPI# 1477529006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477529006 |
| Entity Type | Individual |
| Full Name | KERMIT B BRUNELLE |
| Credential | M.D. |
| Practice Address |
14 Baldwin Ln Bedford NH 03110-4227 |
| Practice Telephone | 6036616289 |
| Practice Fax Number | 6034712537 |
| Mailing Telephone | 6036616289 |
| Mailing Fax Number | 6034712537 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 8408 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM BLUE CROSS | 0105100YPNH01 | 01 |
| NH | TRI CARE | 020518021 | 01 |
| NH | HARVARD | 204146 | 01 |
| NH | AETNA HMO | 2375234 | 01 |
| NH | CIGNA | 020518021 | 01 |
| NH | HCVM | 020518021 | 01 |
| NH | CIGNA - HEALTHSOURCE | 29587 | 01 |
| NH | AETNA - NON HMO | 4570918 | 01 |
| NH | ONE HEALTH - GREAT WEST | 020518021 | 01 |
| NH | 3094016 | 05 | |
| NH | UNITED HEALTHCARE | 020518021 | 01 |
| Street Address |
14 BALDWIN LN |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765181 | Pedro Daniel Paez | Pediatrics | 2208 Murphy Dr Apt 704, Bedford, TX 76021-5912 | 2020-03-22 |
| 1386114106 | Childen's Community Care | Pediatrics | 1 Corporate Dr Ste 109, Bedford, PA 15522-7983 | 2018-12-05 |
| 1508336959 | Akansha Karowadia | Pediatrics | 2213 Martin Dr Ste 200, Bedford, TX 76021-6246 | 2018-11-28 |
| 1477786465 | Ana I Valdes Roque | Pediatrics | 2213 Martin Drive, Bedford, TX 76021 | 2009-08-25 |
| 1265601967 | University Hospitals Medical Practices Inc | Pediatrics | 22750 Rockside Rd # 302, Bedford, OH 44146-1574 | 2008-02-27 |
| 1487839882 | Jaime Bamford | Pediatrics | 1409 Old Dominion Blvd, Bedford, VA 24523-3285 | 2008-01-03 |
| 1922293802 | Katina Aurelia Raciti | Pediatrics | 290 Bedford Barksville Rd, Bedford, NY 10506-1925 | 2007-09-13 |
| 1922130897 | Gretchen A Kind | Pediatrics | 11 Sweeney Ridge Rd, Bedford, MA 01730-1297 | 2007-03-09 |
| 1912094335 | Sharon L Jackson | Pediatrics | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2006-10-06 |
| 1093801508 | Nilla Vibhakar | Pediatrics | 19999 Rockside Road, Bedford, OH 44146 | 2006-10-04 |
| Find all providers in BEDFORD | ||||
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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.