Active NPI
Paul Hank Brunik, DO
- Emergency Medicine Physician
- St. Cloud, MN
National Provider Identifier
1366533507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31519
- Practice address
- 1900 Centracare Circle
Suite 2400
St. Cloud, MN 56303-5000 - Phone
- (320) 229-5099
- Fax
- (320) 229-5171
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31519 | MN | Primary |
Addresses
Primary practice location
1900 Centracare Circle
Suite 2400
St. Cloud, MN 56303-5000
Mailing address
1900 Centracare Circle
Suite 2400
St. Cloud, MN 56303-5000
Phone (320) 229-5099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188895100 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbrunik96517@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31519 | MN | MD | Clinical Social Worker |
Interoperability endpoints
- pbrunik96517@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1366533507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CENTRACARE CIRCLE",
"address_2": "SUITE 2400",
"city": "ST. CLOUD",
"state": "MN",
"postal_code": "563035000",
"telephone_number": "320-229-5099",
"fax_number": "320-229-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CENTRACARE CIRCLE",
"address_2": "SUITE 2400",
"city": "ST. CLOUD",
"state": "MN",
"postal_code": "563035000",
"telephone_number": "320-229-5099",
"fax_number": "320-229-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNIK",
"first_name": "PAUL",
"middle_name": "HANK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "31519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188895100",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbrunik96517@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "701 Dellwood St S",
"city": "Cambridge",
"state": "MN",
"country_code": "US",
"postal_code": "550081920",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St. Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.