Active NPI
Kathy Bruner, MD
- Anatomic Pathology & Clinical Pathology Physician
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35008
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000925919001 | Other | NY | HEALTH NOW |
| 9749297 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, GA, TN, MS, AR, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
- T J Samson Community Hospital
- Spring View Hospital
- St Francis Hospital- Emory Healthcare
- Poplar Bluff Regional Medical Center
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.55 of 100
- Quality
- 72.42
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35008 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
| 231419 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pathologists, LLC | Anatomic Pathology & Clinical Pathology | Current | 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
- 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.
-
dba Associated Pathologists LLC dba PathGroup
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
AR, GA, KY, MS, NC
-
dba Anatomic Pathology Lab
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Poplar Bluff Regional Medical Center
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
-
dba Spring View Hospital
- Rural Acute Care Hospital
- Lebanon, KY
- NPI 1780746420
-
dba St Francis Hospital
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
-
- General Acute Care Hospital
- Glasgow, KY
- NPI 1770581894
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.