E BRUNS FOOT AND ANKLE SC (NPI# 1649574054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649574054 |
| Entity Type | Organization |
| Organization Name | E BRUNS FOOT AND ANKLE SC |
| Practice Address |
3805b Spring St Suite 340 Racine WI 53405-1641 |
| Mailing Address |
160 E Geneva Sq Lake Geneva WI 53147-9694 |
| Practice Telephone | 2622489565 |
| Practice Fax Number | 2622480065 |
| Mailing Telephone | 2622489565 |
| Mailing Fax Number | 2622480065 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | DR. ERIC CARL BRUNS (SOLO PRACTITIONER) |
| Authorized Official Telephone | 2622489565 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
648-025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43215500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548564016 | E Bruns Foot and Ankle Sc | Podiatrist | 160 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2010-12-27 |
| 1487957155 | E Bruns Foot and Ankle Sc | Podiatrist | 9916 75th St, Suite 201, Kenosha, WI 53142-7583 | 2010-12-17 |
| Street Address |
3805B SPRING ST SUITE 340 |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119276 | John A Martini | Family Medicine | 3805b Spring St, Ste 250, Racine, WI 53405-1641 | 2005-07-29 |
| 1730353517 | Brian Michael Ames | Emergency Medicine | 3805b Spring St, Ste 230, Racine, WI 53405-1643 | 2008-04-14 |
| 1023204963 | Bruce A Luccas, Md, LLC | Family Medicine | 3805b Spring St, Ste 130, Racine, WI 53405-1641 | 2007-09-24 |
| 1689712143 | Harry Herman Lippman | Specialist | 3805b Spring St, Suite 220, Racine, WI 53405-1641 | 2007-02-04 |
| 1528178563 | Nathalie Anne King | Physician Assistant | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
| 1508976515 | Michelle Braun | Clinical Neuropsychologist | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-08-30 |
| 1780694414 | Lawrence Tolson | Internal Medicine | 3805b Spring St, Suite 260, Racine, WI 53405-1641 | 2006-08-08 |
| 1659380236 | Byung H. Park | Psychiatry & Neurology | 3805b Spring St, Ste 320, Racine, WI 53405-1641 | 2006-08-05 |
| 1528082534 | Stephen J. Pagano | Psychiatry & Neurology | 3805b Spring St, Suite 320, Racine, WI 53405-1641 | 2006-07-26 |
| 1326061177 | Stephen V. Mawn | Preventive Medicine | 3805b Spring St, Suite 260, Racine, WI 53405-1641 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578709184 | Podomedik Clinics | Podiatrist | 425 Shoreland Dr, Racine, WI 53402-3829 | 2009-01-02 |
| 1568734044 | Family Foot Clinics of Wisconsin Sc | Podiatrist | 5802 Washington Ave, Suite 103, Racine, WI 53406-4050 | 2012-01-31 |
| 1578700811 | Gerardo Perez-espindola | Podiatrist | 425 Shoreland Dr, Racine, WI 53402-3829 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
| 1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
| 1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
| 1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
| 1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
| 1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
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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.