Jason E. Brunt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013443 Issued in MI

Practice address

13087 E 11 Mile Rd
Warren, MI 48088-4795

Phone

(586) 393-5041

Fax

(585) 510-4105

NPI assigned

Jun 2, 2005

Last updated

Jun 20, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Aleda E Lutz VA Medical Center

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1831212927
  Authorized official Same address or phone
• Alliance of Home Care Physicians, PC

  • Specialist
  • Warren, MI
  • NPI 1811039845
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1619979713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025251",
            "telephone_number": "989-497-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13087 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884795",
            "telephone_number": "586-393-5041",
            "fax_number": "585-510-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Weiss St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025251",
            "country_code": "US",
            "telephone_number": "989-497-2500 x11601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNT",
        "first_name": "JASON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "JB013443",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaun Brown
• Milton Charles Brownlee
• John Mark Brubaker, RPH
• Bruce E Adams DO & Associates, P.C.
• John F Brucia, DDS
• Lauren Elizabeth Brush, PA-C
• Krystal Bryant, NP
• Shannon Bryant
• Christine Brzezinski, MALLP
• Bubble Gum Kids Dentistry

• Family Medicine Physician in Warren, MI
• Providers in Warren, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.