Douglas Brunner (NPI# 1255324505, PAC ID# 3072690304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1255324505 |
| PAC ID by PECOS | 3072690304 |
| Professional Enrollment ID | I20110119000620 |
| Full Name | Douglas Brunner |
| Organization Legal Name | DOUGLAS J. BRUNNER, M. D. |
| Address |
175 E Chester Pke Ridley Park PA 19078-2212 |
| Phone Number | 6105956542 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 6204807357 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390180 | CROZER CHESTER MEDICAL CENTER |
| 390081 | DELAWARE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 175 E Chester Pke, Ridley Park, PA 19078-2212 | 6105956542 | DOUGLAS J. BRUNNER, M. D. |
| Organization Legal Name | DOUGLAS J. BRUNNER, M. D. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn L. Rotor-makilan | Physical Medicine and Rehabilitation | Douglas J. Brunner, M. D. | 175 E Chester Pke, Ridley Park, PA 19078-2212 |
| Street Address |
175 E CHESTER PKE |
| City | RIDLEY PARK |
| State | PA |
| Zip | 19078-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Anthony Monte | Pathology | Prospect Health Access Network Inc | 175 E Chester Pke, Taylor Hospital, Ridley Park, PA 19078-2122 |
| Nkemdilim O Ezeife | Internal Medicine | Prospect Health Access Network Inc | 175 E Chester Pke, Taylor Hospital, Ridley Park, PA 19078-2122 |
| Marilyn L. Rotor-makilan | Physical Medicine and Rehabilitation | Douglas J. Brunner, M. D. | 175 E Chester Pke, Ridley Park, PA 19078-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Bergman | Rheumatology | 23 W Chester Pike, Suite 201, Ridley Park, PA 19078-1629 | |
| Robert Alexander Rhodes | Dermatology | 23 W Chester Pike, Suite 200, Ridley Park, PA 19078-1629 | |
| Emily D Rose | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Loretta F Brown | Addiction Medicine | 648 A E Chester Pike, Ridley Park, PA 19078-1701 | |
| Cory R Hawley | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Lee S Cohen | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Ronald B Phillips | Internal Medicine | 648 A E Chester Pike, Ridley Park, PA 19078-1701 | |
| Marc S Persson | Chiropractic | Perssonal Health Chiropractic LLC | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| Emily A Swonguer | Chiropractic | Perssonal Health Chiropractic LLC | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| David R Kalodner | Family Medicine | Internists Associates | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| Find all physicians in zip 19078 | |||
| City | RIDLEY PARK |
| Zip Code | 19078 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | RIDLEY PARK + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Douglas Brunner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.