David G Brunck, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000682A Issued in IN

Practice address

4101 Technology Ave
New Albany, IN 47150-8548

Phone

(812) 941-4500

Fax

(812) 542-1904

NPI assigned

Apr 5, 2006

Last updated

Mar 19, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
• Physicians' Medical Center LLC Hospital, New Albany, IN, CCN 150172

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.brunckpac.p63@direct.ahni.nextgenshare.com
• Direct secure messaging: dbrunck211158@direct.optum.com

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.

• American Health Network of Indiana, LLC

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1831236272
  Medicare reassignment Care Compare group NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1285103671
  Medicare reassignment
• Floyd Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • New Albany, IN
  • NPI 1194869255
  Medicare reassignment
• Pic Indiana PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890
  Medicare reassignment
• Expresscare of Southern Indiana

  dba Urgent Health Medical Center LLC

  • Urgent Care Clinic/Center
  • New Albany, IN
  • NPI 1699872150
  NPD (past) Authorized official
• American Health Network of Indiana LLC

  dba American Health Network of Indiana LLC/TELERADIOLOGY

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Munster, IN
  • NPI 1518623743
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017
  NPD (past)
• Elizabethtown Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Elizabethtown, KY
  • NPI 1528003316

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc.

  dba Baptist Health Floyd

  • General Acute Care Hospital
  • New Albany, IN
  • NPI 1497798847
  Care Compare affiliation
• Physicians Medical Center LLC

  • General Acute Care Hospital
  • New Albany, IN
  • NPI 1689857385
  Care Compare affiliation

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1730141789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500",
            "fax_number": "812-542-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500",
            "fax_number": "812-542-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNCK",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000682A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.brunckpac.p63@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4101 Technology Ave",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471508548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Brown, PMH-NP
• Jordan Brokha Brown, M.D.
• Shannon Michelle Brown, AUD
• Vardeet Brown
• Emily Browning, RBT
• Russell Stewart Bryan, MSW, LCSW
• Alyssa Bryant, RBT
• Robin Bryant, MS. OTR/L
• Carole Buhts, MSN, CNM, WHNP
• Briana Bullitt

• Physician Assistant in New Albany, IN
• Providers in New Albany, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.