Organization Active NPI

E. Bruns Foot & Ankle, SC

  • Foot & Ankle Surgery Podiatrist
  • Lake Geneva, WI
National Provider Identifier
1821140864
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
648025 Issued in WI
Legal business name
E. BRUNS FOOT & ANKLE, SC
Practice address
160 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone
(262) 248-9565
Fax
(262) 248-0065
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Eric C Bruns, DPM
Title
Owner
Phone
(262) 248-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 648025 WI Primary

Addresses

Primary practice location

160 E Geneva SQ
Lake Geneva, WI 53147-9694

Mailing address

160 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 248-9565

Other identifiers 1

IdentifierTypeStateIssuer
43215500MedicaidWI

National Provider Directory

National Provider Directory

Locations

9916 75th St
Ste 201
Kenosha, WI 53142
Phone (262) 925-6565

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1821140864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E GENEVA SQ",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531479694",
            "telephone_number": "262-248-9565",
            "fax_number": "262-248-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E GENEVA SQ",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531479694",
            "telephone_number": "262-248-9565",
            "fax_number": "262-248-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. BRUNS FOOT & ANKLE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-248-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "648025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43215500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.