NPIMap

Individual provider Active NPI

Gary A. Brunvoll, DO

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1053488353
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO0000001147 Issued in TN
Practice address
7490 Ziegler Rd
Chattanooga, TN 37421-3156
Phone
(423) 648-6020
Fax
(423) 648-6025
NPI assigned
Nov 29, 2006
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO0000001147 TN Primary
Obstetrics & Gynecology Physician 207V00000X D0001147 TN

Addresses

Primary practice location

7490 Ziegler Rd
Chattanooga, TN 37421-3156

Mailing address

PO Box 21709
Chattanooga, TN 37424-0709
Phone (423) 648-6020

Other identifiers 2

IdentifierTypeStateIssuer
1531973MedicaidTN
3802626MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090801000069 TN Practitioner - Obstetrics/Gynecology 9537210406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

7490 Ziegler Rd
Chattanooga, TN 37421-3156
Phone (423) 648-6020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1147TNMDChiropractor
D0001147TNMDObstetrics & Gynecology Physician
DO0000001147TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Dec 1, 2016 Accepting new patients
Chattanooga Hamilton County Hospital Authority Obstetrics & Gynecology Current Accepting new patients
Erlanger Health Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Dec 1, 2016 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

7490 Ziegler Rd
Chattanooga, TN 37421
Phone (423) 648-6020

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

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 7

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 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1053488353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21709",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374240709",
            "telephone_number": "423-648-6020",
            "fax_number": "423-648-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 ZIEGLER RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213156",
            "telephone_number": "423-648-6020",
            "fax_number": "423-648-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNVOLL",
        "first_name": "GARY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO0000001147",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "D0001147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531973",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3802626",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.