Brad C Runyan, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35264 Issued in CO

Practice address

4575 Byrd Dr
Loveland, CO 80538-7198

Phone

(970) 593-3300

NPI assigned

Jun 12, 2006

Last updated

Nov 8, 2023By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1700828027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 RUE CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263847",
            "telephone_number": "970-217-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 BYRD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387198",
            "telephone_number": "970-593-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "BRAD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "35264",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "35264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C446778",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01352640",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Rudolph, MD
• Patsy G Ruggles, RDH
• Diana Ruiloba
• Ingrid K Rule, MD
• Megan Elizabeth Rummel, MFTC
• Tarah Rupert, FNP-C
• Vicki Ruscitti, LPC, LAC
• Andrea Dawn Rush, P.T.
• Audrey Brynn Rush, NP-C
• Amie Kathrine Russell, PT, DPT, ATC

• Otolaryngology Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.