Individual provider Active NPI

Susan F. Brunner, M.D.

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1508959131
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20106 Issued in AL
Practice address
3400 Highway 78 E
Jasper, AL 35501-8907
Phone
(205) 387-4401
Fax
(205) 387-4717
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20106 AL Primary

Addresses

Primary practice location

3400 Highway 78 E
Jasper, AL 35501-8907

Mailing address

3400 Highway 78 E
Jasper, AL 35501-8907
Phone (205) 387-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227003278 AL Practitioner - Internal Medicine 2365505203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians

Practice addresses (Care Compare)

1784 Elkahatchee Rd
Alexander City, AL 35010-4800
Phone (256) 329-3311

2911 Earl Goodwin Pkwy
Selma, AL 36703-2825
Phone (334) 875-1868

7054 Veterans Pkwy
Pell City, AL 35125-5117
Phone (205) 338-6487

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue667
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC CurrentSince Jan 20, 2025 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Jan 20, 2025 Accepting new patients
DCH Provider Services, LLC Past Accepting new patients
Baptist Health System, Inc. Internal Medicine Past Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
BHC - Montclair Hospitalist Internal Medicine PastSince Aug 1, 2001 Accepting new patients

Locations

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1508959131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-387-4401",
            "fax_number": "205-387-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-387-4401",
            "fax_number": "205-387-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "SUSAN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.