Edward Louis Brundick II, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01023725A Issued in IN

Practice address

500 E Walnut St
Evansville, IN 47713-2438

Phone

(812) 772-8740

NPI assigned

Jan 4, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• The Care Group at Safe Harbor, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1629471958
  NPD (past)

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1265762801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103785",
            "telephone_number": "941-806-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WALNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132438",
            "telephone_number": "812-772-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDICK",
        "first_name": "EDWARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01023725A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Carol Browning
• Christine G Bruce, AU.D.
• Emma Brumfield
• Thomas A Brummer, MD
• Laurel B Brundage, PSY.D.
• Raven Beth Brust, R.N.
• John Philip Bryan, PA-C
• Tiffany Bryan, ED. S.
• Bryant a. Bloss M.D. Orthopaedics
• Bryant P. Burkett DDS, LLC

• Orthopaedic Surgery Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.