Bruneau Family Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA64311 Issued in NJ

Legal business name

BRUNEAU FAMILY CARE PC

Practice address

2963 Marne Hwy
Mount Laurel, NJ 08054-2036

Phone

(856) 638-1990

Fax

(856) 583-0359

NPI assigned

May 30, 2006

Last updated

Jul 25, 2019By 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

Lisa Drzal

Title

Office Manager

Phone

(856) 638-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1659328094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "ST 408",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-638-1990",
            "fax_number": "856-583-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 MARNE HWY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542036",
            "telephone_number": "856-638-1990",
            "fax_number": "856-583-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNEAU FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "DRZAL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-638-1990"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA64311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8712701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McDaniel Brown, M.D.
• Noelle Gibson Brown, R.D.
• William Brown
• Brittany Browne, MA, CCC-SLP
• Colleen Browne, DDS
• Lara A Bruneau, M.D.
• Kendle Bryan, LSW
• Dallas Bryant, LMT
• Mercy D Bryant
• Buckets Full of Health

• Family Medicine Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.