David Martin Bruenderman, MD
Individual provider Active NPI Anesthesiology Physician · Louisville, KY
NPI 1407808181 · NPPES record last updated Jul 11, 2019
Key facts
- NPI
- 1407808181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 24040 (KY)
- Practice address
- 320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928 - Phone
- (502) 625-5584
- Fax
- (502) 426-2264
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Surgicenter of Louisville LLC | Anesthesiology | Current |
Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current |
Accepting new patients |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Anesthesiology | Current | Accepting new patients |
| U S Anesthesia Partners of Kentucky PSC | Anesthesiology | Past |
Accepting new patients |
| Anesthesia Associates of Louisville, PSC | Anesthesiology | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
2800 Cannons Ln
Ste 100
Louisville, KY 40205
Phone (502) 813-8604
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24040 | KY | Yes |
Addresses
Primary practice location
320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Mailing address
320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Phone (502) 625-5584
Other practice location 1
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone (502) 587-4404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K095234-KOMG | Other | KY | MEDICARE PIN |
| 64240401 | Medicaid | KY |
Other providers in Louisville, KY
- Heather Lacole Bruck
- Benjamin Bruckner
- Kayla Jean Bruderle
- Lynda Kaye Bruederle
- Carolyn Brueggemann
- Elizabeth Holt Bruenderman
- Joseph Kurt Bruenderman
- Paula L Bruggensmith
- Patricia Cummings Bruggman
- Richard C. Bruggman
All providers in Louisville, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.