Individual provider Active NPI

Christopher Allen Brundage, CST/CSFA

  • Surgical Assistant
  • Avondale, AZ
National Provider Identifier
1447046164
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
11412 W Bermuda Dr
Avondale, AZ 85392-4227
Phone
(575) 915-5725
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X NU Primary

Addresses

Primary practice location

11412 W Bermuda Dr
Avondale, AZ 85392-4227

Mailing address

11412 W Bermuda Dr
Avondale, AZ 85392-4227
Phone (575) 915-5725

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

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1447046164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 W BERMUDA DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924227",
            "telephone_number": "575-915-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 W BERMUDA DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924227",
            "telephone_number": "575-915-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDAGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "credential": "CST/CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.