Rodney C Brunson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB058304 Issued in NJ

Practice address

201 Tilton Rd Ste 12
Northfield, NJ 08225-1247

Phone

(609) 484-7000

Fax

(609) 484-1533

NPI assigned

Sep 21, 2006

Last updated

Oct 31, 2023By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: rodney.brunson.1@19556.direct.athenahealth.com

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.

• Rodney C. Brunson, DO PC

  dba Trauma Case Research & Management

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1396303459
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1336247378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TILTON RD STE 12",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251247",
            "telephone_number": "609-484-7000",
            "fax_number": "609-484-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TILTON RD STE 12",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251247",
            "telephone_number": "609-484-7000",
            "fax_number": "609-484-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Enterprise Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Cape May Court House",
            "state": "NJ",
            "postal_code": "082103504",
            "country_code": "US",
            "telephone_number": "609-484-7000",
            "fax_number": "609-484-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "RODNEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MB05830400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB058304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.