Angeline D. Brunetto, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

28786 Issued in TN

Practice address

200 Stonecrest Blvd
Smyrna, TN 37167-6810

Phone

(615) 768-2000

NPI assigned

Jun 13, 2006

Last updated

Nov 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment
• Cane Ridge Emergency Physicians LLC

  • Emergency Medicine Physician
  • Smyrna, TN
  • NPI 1275815433
  NPD (past)
• Ehra Medical Services of Tennessee PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1346531613
  NPD (past)
• Tennessee Em-I Medical Services PC

  • Physician Assistant
  • Lebanon, TN
  • NPI 1164742300
  NPD (past)
• TN-I Medical Services PC

  • Physician Assistant
  • Nashville, TN
  • NPI 1972894244
  NPD (past)
• Walking Horse Emergency Physicians LLC

  • Emergency Medicine Physician
  • Shelbyville, TN
  • NPI 1851685671
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1760425300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "865-292-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676810",
            "telephone_number": "615-768-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTO",
        "first_name": "ANGELINE",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "28786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "3070530",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "3126223",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815217",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815216",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232365",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allisha Brown
• Bessie Brown
• Heather Brown
• Robert Ogilvie Brown, PHARM.D
• Taylor Ruth Bruffey
• Jacqueline Bryant, CRNA
• Jessica Bryant
• Aniyah Deann Buchanan
• Brittany Buchanan, LCSW
• Kristie R Bucher, PA

• Emergency Medicine Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.