Organization Active NPI

Robert L Brunk II DO PC

  • Medical Specialty Clinic/Center
  • Valparaiso, IN
National Provider Identifier
1790966331
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
02001839A Issued in IN
Legal business name
ROBERT L BRUNK II DO PC
Practice address
505 Robinhood CT
Valparaiso, IN 46385-8021
Phone
(219) 465-4118
Fax
(219) 548-3067
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Robert L Brunk, D.O.
Title
Owner
Phone
(219) 465-4118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 02001839A IN Primary

Addresses

Primary practice location

505 Robinhood CT
Valparaiso, IN 46385-8021

Mailing address

505 Robinhood CT
Valparaiso, IN 46385-8021
Phone (219) 465-4118

National Provider Directory

National Provider Directory

Locations

802 Laporte Ave
#102
Valparaiso, IN 46383
Phone (219) 477-5242

251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1790966331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROBINHOOD CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858021",
            "telephone_number": "219-465-4118",
            "fax_number": "219-548-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ROBINHOOD CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858021",
            "telephone_number": "219-465-4118",
            "fax_number": "219-548-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L BRUNK II DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-465-4118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "02001839A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.