Individual provider Active NPI

Kathy Bruner, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brentwood, TN
National Provider Identifier
1003847492
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35008 Issued in KY
Practice address
5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone
(615) 221-4474
Fax
(615) 234-3774
NPI assigned
Jul 5, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 231419 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35008 KY Primary

Addresses

Primary practice location

5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541

Mailing address

5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone (615) 221-4474

Other identifiers 2

IdentifierTypeStateIssuer
000925919001OtherNYHEALTH NOW
9749297OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA, TN, MS, AR, NC6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070627000141 KY Practitioner - Pathology 1153395025 Reassigns benefits to 1 organization
I20241024000002 GA Practitioner - Pathology 1153395025 Reassigns benefits to 1 organization
I20250410002723 TN Practitioner - Pathology 1153395025 Reassigns benefits to 1 organization
I20250611002909 MS Practitioner - Pathology 1153395025 Reassigns benefits to 1 organization
I20251015004787 AR Practitioner - Pathology 1153395025 Reassigns benefits to 1 organization
I20251223001070 NC Practitioner - Pathology 1153395025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Louisville School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (615) 221-4400

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (615) 221-4400

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (615) 221-4400

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (615) 221-4400

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1329

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35008KYMDAnatomic Pathology & Clinical Pathology Physician
231419NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2011 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

Interoperability endpoints

  • Direct secure messaging: kbruner2953457@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1003847492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277541",
            "telephone_number": "615-221-4474",
            "fax_number": "615-234-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277541",
            "telephone_number": "615-221-4474",
            "fax_number": "615-234-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "KATHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "231419",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "35008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "000925919001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9749297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.