Charles W Brunelle, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35042012 Issued in OH

Practice address

375 N Eastown Rd
Lima, OH 45807-2214

Phone

(419) 228-3500

Fax

(419) 228-6700

NPI assigned

Feb 1, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Gcga Physicians Inc.

  • Gastroenterology Physician
  • Cincinnati, OH
  • NPI 1790851095
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1083685440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HAWTHORNE DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054074",
            "telephone_number": "419-999-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072214",
            "telephone_number": "419-228-3500",
            "fax_number": "419-228-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35042012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361335",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zyrome Brown
• Donald R Brubaker, L.I.S.W.
• Alyssa Brugh, CT
• Brian Michael Bruin, PHARMD
• Kevin Robert Bruin, RPH PHARMD
• Timothy Charles Brunelle, CRNA
• Gary P Brunk, DDS
• Eddy Severe Bruno, M.D.
• Amy Bruns, LISW
• Christina J Bryan

• Gastroenterology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.