Active NPI
William Charles Brunner, M.D.
- Surgery Physician
- Camp Pendleton, CA
National Provider Identifier
1407826258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 194615
- Practice address
- 200 Mercy Circle
Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055-5191 - Phone
- (760) 725-1356
- Fax
- (760) 725-0117
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 Medicine
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 194615 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 Mercy Circle
Naval Hospital Camp Pendleton
Camp Pendleton, CA 92055-5191
Mailing address
641 Garfield St
Oceanside, CA 92054-4211
Phone (504) 452-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2015.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1407826258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 GARFIELD ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920544211",
"telephone_number": "504-452-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"address_2": "NAVAL HOSPITAL CAMP PENDLETON",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555191",
"telephone_number": "760-725-1356",
"fax_number": "760-725-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNNER",
"first_name": "WILLIAM",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "194615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.