Desmond Brundidge

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

Chdfs Inc 307West 38TH Street, 6TH Floor
New York, NY 10018

Phone

(212) 695-4564

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1578221297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHDFS INC 307WEST 38TH STREET, 6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHDFS INC 307WEST 38TH STREET, 6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-695-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDIDGE",
        "first_name": "DESMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brummer Surgical Podiatry PC
• John Joseph Brummer, DPM
• Natalie Brumwell
• Carla Nicole Brun, LMSW
• Keith Robert Brunckhorst, M.D.
• Kaitlyn D. Bruneau, LCSW
• Rebecca Marie Brunelle
• Diane Reformina Brunelli, NP
• Andrea Brunetti
• Michael J. Brunetti, D.P.M.

• Case Manager/Care Coordinator in New York, NY
• Providers in New York, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.