Organization Active NPI

Brenden Brunner MD LLC

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1205581709
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRENDEN BRUNNER MD LLC
Practice address
14 Hospital Dr
Toms River, NJ 08755-6402
Phone
(503) 789-2990
NPI assigned
Feb 14, 2022
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Brenden BrunnerNPI 1659768588
Title
Owner
Phone
(503) 789-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

14 Hospital Dr
Toms River, NJ 08755-6402

Mailing address

PO Box 1120
Toms River, NJ 08754-1120

Other identifiers 1

IdentifierTypeStateIssuer
25MA11373100OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309003137 NJ Part B Supplier - Clinic/Group Practice 6901291947 Receives reassigned benefits from 1 practitioner
Practice locations: Neptune, NJ; Toms River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1205581709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HOSPITAL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556402",
            "telephone_number": "503-789-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDEN BRUNNER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "BRENDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-789-2990"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA11373100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.