John Alexander Brundage

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1311 N Dixie Hwy
Building C
Elizabethtown, KY 42701-2621

Phone

(270) 769-1304

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By 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

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1669891693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 S 3RD ST",
            "address_2": "APT 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081414",
            "telephone_number": "937-414-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE HWY",
            "address_2": "BUILDING C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-769-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDAGE",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Eric Brown, PMHNP, CRNA, NSPM-C
• Wesley Brown
• Brittany Danyale Bruce
• Jessica Bruce, APSS
• Sheila E. Bruce, ARNP
• Tracy Bruner
• Lauren Ashley Brussell, APRN
• Erin B Bryant, ARNP
• Jesse Thornton Bryant IV, M.D.
• Timothy James Bryant, CRNA

• Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.