Individual provider Active NPI

David Brunger, FNP-BC

  • Family Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1679164669
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704313685 Issued in MI
Practice address
3937 Patient Care Dr Ste 102
Lansing, MI 48911-4287
Phone
(517) 295-2244
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704313685 MI Primary

Addresses

Primary practice location

3937 Patient Care Dr Ste 102
Lansing, MI 48911-4287

Mailing address

3937 Patient Care Dr Ste 102
Lansing, MI 48911-4287
Phone (517) 295-2244

Other practice location 1

900 E Michigan Ave
Jackson, MI 49201-2457
Phone (517) 782-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118000237 MI Practitioner - Nurse Practitioner 0941652606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704313685MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Sleep Disorders-Lansing PLC CurrentSince Dec 22, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 25, 2024 Accepting new patients

Locations

3937 Patient Care Dr
Ste 102
Lansing, MI 48911
Phone (517) 488-0133

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: dbrunger763644@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1679164669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DR STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114287",
            "telephone_number": "517-295-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DR STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114287",
            "telephone_number": "517-295-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012457",
            "country_code": "US",
            "telephone_number": "517-782-3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNGER",
        "first_name": "DAVID",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-11-16",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704313685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.