Active NPI
Joan K Brunfeldt, M.D.
- Internal Medicine Physician
- Lawrence, KS
National Provider Identifier
1760587331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-17789
- Practice address
- 404 Maine St
Lawrence, KS 66044-1361 - Phone
- (785) 842-3635
- Fax
- (785) 842-8645
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-17789 | KS | Primary |
Addresses
Primary practice location
404 Maine St
Lawrence, KS 66044-1361
Mailing address
404 Maine St
Lawrence, KS 66044-1361
Phone (785) 842-3635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100197140A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-17789 | KS | MD | Internal Medicine Physician |
Interoperability endpoints
- jbrunfeldt917524@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1760587331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441361",
"telephone_number": "785-842-3635",
"fax_number": "785-842-8645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441361",
"telephone_number": "785-842-3635",
"fax_number": "785-842-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNFELDT",
"first_name": "JOAN",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-17789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100197140A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.