Chelsea Brunsman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.016702 Issued in OH

Practice address

4790 Cottonville Rd
Jamestown, OH 45335-1518

Phone

(937) 675-2870

Fax

(937) 675-2873

NPI assigned

Mar 27, 2020

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrunsman594924@direct.ketteringhealth.org

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.

• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD
• Greene Memorial Hospital Inc

  dba Kettering Health Greene Memorial

  • General Acute Care Hospital
  • Xenia, OH
  • NPI 1255317848
  NPD (past)
• Greene Memorial Hospital, Inc.

  dba Kettering Health Primary Care, A Service of Kettering Health Greene Me

  • Rural Health Clinic/Center
  • Jamestown, OH
  • NPI 1386281574
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1205463205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 COTTONVILLE RD",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453351518",
            "telephone_number": "937-675-2870",
            "fax_number": "937-675-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 N Fairfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454312783",
            "country_code": "US",
            "telephone_number": "937-558-3900",
            "fax_number": "937-558-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSMAN",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrunsman594924@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4790 Cottonville Rd",
            "city": "Jamestown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453351518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "4790 Cottonville Rd",
            "city": "Jamestown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453351518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anew Behavioral Health LLC
• Eric E Bowers, CNP
• Danielle Brooks, RD, LD
• David P Buck, M.D.
• Ana Clark
• Compunet Clinical Laboratories LLC
• Krysta Mychal Cooper, APRN, CNP
• CT Ohio Jamestown LLC (Jamestown Place Health and Rehab)

• Family Medicine Physician in Jamestown, OH
• Providers in Jamestown, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.