Individual provider Active NPI

Jenna Alys Brunn, MD

  • Neurology Physician
  • Uniontown, OH
National Provider Identifier
1306406434
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.151781 Issued in OH
Practice address
3838 Massillon Rd Ste 360
Uniontown, OH 44685-7965
Phone
(330) 896-9625
NPI assigned
Jun 20, 2019
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.151781 OH Primary

Addresses

Primary practice location

3838 Massillon Rd Ste 360
Uniontown, OH 44685-7965

Mailing address

3838 Massillon Rd Ste 360
Uniontown, OH 44685-7965
Phone (330) 896-9625

Other names 1

  • Jenna Alys Decker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230802004259 MI Practitioner - Neurology 4082949409 Reassigns benefits to 1 organization
I20241223001899 OH Practitioner - Neurology 4082949409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wright State University Boonshoft School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oak ClinicGroup PAC ID 2769470590, 5 clinicians

Practice addresses (Care Compare)

3838 Massillon Rd
Suite 360
Uniontown, OH 44685-7965
Phone (330) 896-9625

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Neurology CurrentSince Jun 30, 2023 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
The Oak Clinic Neurology CurrentSince Oct 17, 2024 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 30, 2023 Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
#3116
Ann Arbor, MI 48109
Phone (734) 647-6670

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

3838 Massillon Rd
Green, OH 44685
Phone (330) 896-9625

3838 Massillon Rd
Ste 360
Green, OH 44685
Phone (330) 896-9625

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1306406434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 MASSILLON RD STE 360",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857965",
            "telephone_number": "330-896-9625",
            "fax_number": "330-896-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 MASSILLON RD STE 360",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857965",
            "telephone_number": "330-896-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNN",
        "first_name": "JENNA",
        "middle_name": "ALYS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.151781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "DECKER",
            "middle_name": "ALYS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.