Walter O Bruning, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19421 Issued in KY

Practice address

11600 Main St
Louisville, KY 40243-1318

Phone

(502) 245-4168

Fax

(502) 244-4054

NPI assigned

Jul 7, 2005

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Baptist Health Medical Group Inc

  dba CBC Group Consulting in Blood Disorders & Cancer

  • Hematology & Oncology Physician
  • Louisville, KY
  • NPI 1487984514
  NPD (past)
• Baptist Health Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1073890695

  Internal Medicine

  NPD (past)
• Baptist Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1568740447
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1063419901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-238-2801",
            "fax_number": "502-238-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431318",
            "telephone_number": "502-245-4168",
            "fax_number": "502-244-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNING",
        "first_name": "WALTER",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "19421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64194210",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbruning6166@bhkydirect.com",
            "affiliation": "N",
            "address_1": "11600 Main St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402431318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Thomas Brummett, OTR/L
• Jacob Thomas Brunemann, MS, ATC
• Rebecca Bruner, PMHNP
• Ryne B Bruner, APRN
• Shirley D Bruner, NP-C
• Grite Brunker, PT, DPT
• Melissa Anne Bruno, M.D.
• Michael Bruno, M.D.
• Deborah Lou Bruns, CD(DONA)
• Candance Brunyate

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.