Kersti M Bruining MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301062455 Issued in MI

Legal business name

KERSTI M BRUINING MD PLLC

Practice address

1213 W Front St
Traverse City, MI 49684-2317

Phone

(231) 935-0386

Fax

(231) 935-0387

NPI assigned

Aug 19, 2006

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kersti Bruining, MD

Title

Owner

Phone

(231) 935-0386

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1588778088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842317",
            "telephone_number": "231-935-0386",
            "fax_number": "231-935-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842317",
            "telephone_number": "231-935-0386",
            "fax_number": "231-935-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSTI M BRUINING MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "BRUINING",
        "authorized_official_first_name": "KERSTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-0386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301062455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kerndt, M.D.
• Jessica Leigh Kernodle, PA-C
• Jennifer Ann Kerns, BS, RDH
• John S Kerns, DDS
• Brian James Kerr, M.D.
• Nicole Ketcik
• Taylor Ketelaar
• Dawn Kettler
• Lynda Key, SW
• Brittnee Keyes, FNP

• Specialist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.