Nathan Walter Brunner, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A122130 Issued in CA

Practice address

1215 Welch Rd
Modular B Vera Moulton Wall Center
Stanford, CA 94305-5414

Phone

(650) 721-6510

NPI assigned

Sep 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1457601361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WELCH RD # MODULARB",
            "address_2": "VERA MOULTON WALL CENTER",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055102",
            "telephone_number": "650-721-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WELCH RD",
            "address_2": "MODULAR B VERA MOULTON WALL CENTER",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055414",
            "telephone_number": "650-721-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "NATHAN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A122130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Walden Browne II, MD
• Or Bruck, DO
• Stephanie Elizabeth Bruhnke, NP
• Carlos Brun, M.D.
• Shelley Brunkan, PA-C
• Ryan Lennex Brunsing, MD, PHD
• Olivia Anne Bruyn, MPH
• Vivek P Buch, MD
• Marion Seaman Buckwalter, MD
• Kelly Bugos, RN NP MS

• Pulmonary Disease Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.