Active NPI
Kermit Brion Brunelle, M.D.
- Pediatrics Physician
- Bedford, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8408
- Practice address
- 14 Baldwin LN
Bedford, NH 03110-4227 - Phone
- (603) 661-6289
- Fax
- (603) 471-2537
- NPI assigned
- Feb 24, 2006
- Last updated
- Apr 2, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 67822 | MN | |
| Pediatrics Physician | 208000000X | 2020-01293 | NC | |
| Pediatrics Physician | 208000000X | MD466750 | PA | |
| Pediatrics Physician | 208000000X | 8408 | NH | Primary |
Addresses
Primary practice location
14 Baldwin LN
Bedford, NH 03110-4227
Mailing address
14 Baldwin LN
Bedford, NH 03110-4227
Phone (603) 661-6289
Other practice location 1
1141 N Road St Ste M
Elizabeth City, NC 27909-3354
Phone (252) 384-2590
Other practice location 2
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT, NV, NC, MN, PA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67822 | MN | MD | Pediatrics Physician |
| 2020-01293 | NC | MD | Pediatrics Physician |
| 8408 | NH | MD | Pediatrics Physician |
| MD466750 | PA | MD | Pediatrics Physician |
Practice roles
Locations (25 of 27)
712 S Cascade St
Fergus Falls, MN 56537
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
1141 N Road St
Ste M
Elizabeth Cty, NC 27909
Phone (252) 338-2155
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440
5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060
141 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-5899
16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229
1995 Errecart Blvd
Ste 202
Elko, NV 89801
Phone (775) 735-3654
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
82 E View Ln
Barre, VT 05641
Phone (802) 223-4200
1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
420 Grove St
Brandon, VT 05733
Phone (802) 247-6305
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
Interoperability endpoints
- bbenson987580@direct.sentara.net
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- kbrunelle507602@direct.medicine.duke.edu
- kermit.b.brunelle@upmcdirect.com
- kermit.brunelle.1@19231.direct.athenahealth.com
- kermit.brunelle.1@20247.direct.athenahealth.com
Organizations & group practices 33
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.
-
- Family Medicine Physician
- Bedford, NH
- NPI 1972559904
-
dba Speare Hospitalist Program
- General Practice Physician
- Plymouth, NH
- NPI 1346402047
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1942443130
NC, Pediatrics
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
dba Rutland Community Health Center
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
-
dba dba Mettowee Valley Family Health Center
- Family Medicine Physician
- West Pawlet, VT
- NPI 1104870922
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
-
dba CHCRR Pediatrics
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- General Acute Care Hospital
- Randolph, VT
- NPI 1942329446
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1477529006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BALDWIN LN",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031104227",
"telephone_number": "603-661-6289",
"fax_number": "603-471-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BALDWIN LN",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031104227",
"telephone_number": "603-661-6289",
"fax_number": "603-471-2537"
}
],
"practiceLocations": [
{
"address_1": "1141 N Road St Ste M",
"address_purpose": "LOCATION",
"city": "Elizabeth City",
"state": "NC",
"postal_code": "279093354",
"country_code": "US",
"telephone_number": "252-384-2590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "789 Central Ave",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202526",
"country_code": "US",
"telephone_number": "603-740-2263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNELLE",
"first_name": "KERMIT",
"middle_name": "BRION",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "67822",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2020-01293",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD466750",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "8408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.