Active NPI
Andrew Brunk, M.D.
- Anesthesiology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0089367
- Practice address
- 1542 Tulane Ave RM 659
New Orleans, LA 70112-2865 - Phone
- (608) 792-7859
- NPI assigned
- Apr 7, 2016
- Last updated
- May 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | D0089367 | MD | Primary |
Addresses
Primary practice location
1542 Tulane Ave RM 659
New Orleans, LA 70112-2865
Mailing address
131 Millaudon St
New Orleans, LA 70118-3629
Phone (608) 792-7859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2413937 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0089367 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1720175623
-
- General Acute Care Hospital
- Olney, MD
- NPI 1114922341
-
dba MedStar Good Samaritan
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1437513207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MILLAUDON ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701183629",
"telephone_number": "608-792-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 TULANE AVE RM 659",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122865",
"telephone_number": "608-792-7859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNK",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0089367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2413937",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.