Richard Lewis Brundige, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19240 Issued in CO

Practice address

8015 W Alameda Ave
Suite 050
Lakewood, CO 80226-3075

Phone

(303) 237-0086

Fax

(303) 237-6112

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407945595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE",
            "address_2": "SUITE 050",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263075",
            "telephone_number": "303-237-0086",
            "fax_number": "303-237-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE",
            "address_2": "SUITE 050",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263075",
            "telephone_number": "303-237-0086",
            "fax_number": "303-237-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDIGE",
        "first_name": "RICHARD",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "19240",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "249201",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "802928",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD",
            "identifier": "79204",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalea Brucks
• Tammie N. Brueckner, PA-C
• Thomas C Bruen Jr., RPH
• Kelly Lynn Brun, MA, LPCC
• Brundige Family Practice, P.C.
• Jaana Anneli Brunette, PT
• Sara Brunken
• Michael W. Brunko, MD
• Lauren Bruns
• Tanya Bruns, D.C.

• Family Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Family Medicine Physician in Colorado

• 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.