Jesse Fox Brunner (NPI# 1225538309, PAC ID# 5799047700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225538309 |
| PAC ID by PECOS | 5799047700 |
| Professional Enrollment ID | I20180402000974 |
| Full Name | Jesse Fox Brunner |
| Organization Legal Name | IRONWOOD DRIVE PHYSICAL THERAPY PA |
| Address |
1875 N Lakewood Dr Suite 101 Coeur D Alene ID 83814-4928 |
| Phone Number | 2086676264 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1557345436 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1088 W Prairie Ave, Coeur D Alene, ID 83815-8773 | 2087726609 | IRONWOOD DRIVE PHYSICAL THERAPY PA |
| 1875 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-4928 | 2086676264 | IRONWOOD DRIVE PHYSICAL THERAPY PA |
| Organization Legal Name | IRONWOOD DRIVE PHYSICAL THERAPY PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Hoelzen | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1088 W Prairie Ave, Coeur D Alene, ID 83815-8773 |
| Dirk A Baird | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1875 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-4928 |
| Skyler L Anderson | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1088 W Prairie Ave, Coeur D Alene, ID 83815-8773 |
| Brenda K Jerald | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1875 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-4928 |
| Diana Smith | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1088 W Prairie Ave, Coeur D Alene, ID 83815-8773 |
| Street Address |
1875 N LAKEWOOD DR SUITE 101 |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83814-4928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dirk A Baird | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1875 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-4928 |
| Jacqueline L Wagner | Nurse Practitioner | 1875 N Lakewood Dr, Suite 205, Coeur D Alene, ID 83814-4928 | |
| Kate Kuhlman-wood | Plastic and Reconstructive Surgery | 1875 N Lakewood Dr, Suite 103, Coeur D Alene, ID 83814-4928 | |
| Brenda K Jerald | Physical Therapy | Ironwood Drive Physical Therapy Pa | 1875 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-4928 |
| Jerald R Olsen | Physical Therapy | Ironwood Drive Physical Therapy | 1875 N Lakewood Dr, Suite 101, Coeur D Alene, ID 83814-4928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Earl Hirschi | Chiropractic | 610 N Hubbard St, Suite 114, Coeur D'alene, ID 83814 | |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Natalie Rose Cooper | Physical Medicine and Rehabilitation | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Melanie L Enderwick | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Sarah R Nave | Registered Dietitian Or Nutrition Professional | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Orlando E Nunez | Podiatry | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1404 | |
| Kevin M Johnson | General Surgery | Coeur D Alene Surgical and Vein | 608 Northwest Blvd, Coeur D Alene, ID 83814-2174 |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Find all physicians in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | COEUR D ALENE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jesse Fox 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.