Brunswick Family Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34007490 Issued in OH

Legal business name

BRUNSWICK FAMILY MEDICINE, INC

Practice address

3919 Center Rd
Brunswick, OH 44212-3087

Phone

(330) 558-0405

Fax

(330) 558-0421

NPI assigned

Jan 10, 2008

Organization subpart

No

Name

Allie Wukovich, CPC

Title

Practice Manager

Phone

(330) 558-0405

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Richard Robusto, D.O.

  • Family Medicine Physician
  • Brunswick, OH
  • NPI 1649268426

  Family Medicine, OH

  Medicare reassignment NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in OH

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2013.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1194901066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123087",
            "telephone_number": "330-558-0405",
            "fax_number": "330-558-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123087",
            "telephone_number": "330-558-0405",
            "fax_number": "330-558-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "WUKOVICH",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-558-0405",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Brown
• Richelle Renee Brown, NP-C
• Brunswick Chiropractic Clinic Inc
• Brunswick City School District
• Brunswick Family Dental Practice Inc
• Brunswick Health & Rehabilitation Center, Inc.
• Brunswick Hills Township
• Brunswick Internal Medicine Inc.
• Brunswick Optical
• Brunswick Orthopedics Inc

• All providers in Brunswick, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.