Lori A Brudnicki

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

808 Packerland Dr
Green Bay, WI 54303-4846

Phone

(920) 600-4709

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1376205336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10951",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543070951",
            "telephone_number": "920-600-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034846",
            "telephone_number": "920-600-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDNICKI",
        "first_name": "LORI",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brown, MS CCC-SLP
• Deann Brown, APNP
• Erika Paige Brown, PA-C
• Nicole Marie Brown, APNP PMHNP
• Senior L Brown, SAC-IT
• Aubree Rae Bruhnding, DO
• Paul Bruhnding, D.O.
• Kennedy M Brummond, OT
• Jeffrey Brunner, PT
• James Bruno, DO

• Non-emergency Medical Transport (VAN) in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.