Patricia Ann Brunner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

1100 Central Ave
Suite H
Wilmette, IL 60091-2666

Phone

(847) 256-6480

Fax

(847) 256-6482

NPI assigned

Jul 7, 2006

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

Other names 1

• Patricia Ann Guastella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pbrunner2516@direct.luriechildrens.org

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.

• Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD
• Peter R. Lewy, MD, LTD

  • Specialist
  • Wilmette, IL
  • NPI 1942423587
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376575332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE",
            "address_2": "SUITE H",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912666",
            "telephone_number": "847-256-6480",
            "fax_number": "847-256-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE",
            "address_2": "SUITE H",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912666",
            "telephone_number": "847-256-6480",
            "fax_number": "847-256-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GUASTELLA",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brookside Associates, LTD.
• Quinn Brower
• Liesel A Brown, PT
• Linda Brown, MPT
• Christina Marie Bruhn, PHD, LSW
• Angel Mehta Buchanan, PH.D.
• Anna Marie Buchmann, PH.D
• Melissa Dobbins Buchmann, MS, RD, CDE
• Stephen J Bundra, MD
• James Kevin Buskirk, P.T.

• Pediatrics Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Pediatrics Physician in Illinois

• 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.