Ronald A Brungo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028734L Issued in PA

Practice address

234 E College Ave
State College, PA 16801-4757

Phone

(814) 237-4300

Fax

(814) 237-4303

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Brungo Family Dentistry

  • General Practice Dentistry
  • State College, PA
  • NPI 1245387521
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306900675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E COLLEGE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014757",
            "telephone_number": "814-237-4300",
            "fax_number": "814-237-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E COLLEGE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014757",
            "telephone_number": "814-237-4300",
            "fax_number": "814-237-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNGO",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028734L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028551L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Baxter Brugler, DDS
• Brummert Family Chiropractic, LLC
• Todd E. Brunermer, PA-C
• Brungo Family Dentistry
• Maura Beirne Brungo, D.M.D.
• Kaitlyn Branigan Brunner, DO
• Kara Bryan, CRNP
• Jennifer J Bucha, PHARMD
• Jamie Buchwald, PHARMD
• Margaret Alena Buck

• General Practice Dentistry in State College, PA
• Providers in State College, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.