Mary Joan Brunner

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

201 S William St
South Bend, IN 46601-2515

Phone

(574) 234-2870

Fax

(574) 232-2872

NPI assigned

Apr 16, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164647210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S WILLIAM ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012515",
            "telephone_number": "574-234-2870",
            "fax_number": "574-232-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S WILLIAM ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012515",
            "telephone_number": "574-234-2870",
            "fax_number": "574-232-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "MARY",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruening Therapy LLC
• Karen Bruening, MS
• Kaylie Bruinsma, MSW
• William Bruinsma, PSYD
• Ellen Bruneel, OTR
• Seth David Brunner, DPT
• Ashley Brunt, LSW
• Randy Joseph Brush, P.A.
• Connie Marie Bryan, RN
• Geraldne F Bryan, MSW, LCSW

• Case Manager/Care Coordinator in South Bend, IN
• Providers in South Bend, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.