Active NPI
Philip F Brunner
- Counselor
- Kenmore, NY
National Provider Identifier
1407706757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 129501-01
- Practice address
- 2790 Delaware Ave
Kenmore, NY 14217-2704 - Phone
- (716) 931-9037
- NPI assigned
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 129501-01 | NY | Primary |
Addresses
Primary practice location
2790 Delaware Ave
Kenmore, NY 14217-2704
Mailing address
252 Norwood Ave
Buffalo, NY 14222-1710
Phone (716) 253-9354
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129501-01 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1407706757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 NORWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221710",
"telephone_number": "716-253-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172704",
"telephone_number": "716-931-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNNER",
"first_name": "PHILIP",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-28",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "129501-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.