Bruner Tammy

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

28060524A Issued in IN

Legal business name

BRUNER TAMMY

Practice address

119 N Baldwin Ave
Marion, IN 46952

Phone

(765) 664-7463

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Tammy R Bruner, RN

Title

RN Owner

Phone

(574) 269-3306

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kem Kare Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1073602256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EMS C30 LANE",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "46582",
            "telephone_number": "574-269-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-664-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNER TAMMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RN OWNER",
        "authorized_official_telephone_number": "574-269-3306",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IN",
            "license": "28060524A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000097375",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kem Kare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• P. Edwin Brown, DDS
• Shawna Brown, RBT
• Shelbey Brown, RBT
• Leah Broyles, NP
• Bruner Dental Center,LLC, PC
• Donald J Bruns, MD
• Nathaniel William Bryan, LCSW, LCAC
• Quinnika Buchanan
• Briana Nicole Buckley, PHARMD
• Raquel Bugher

• Prosthetic/Orthotic Supplier in Marion, IN
• Providers in Marion, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.