Active NPI
Jennifer L. Brull, M.D.
- Family Medicine Physician
- Plainville, KS
National Provider Identifier
1841303807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-28262
- Practice address
- 1210 N Washington
Plainville, KS 67663-1632 - Phone
- (785) 434-2622
- Fax
- (785) 434-2577
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-28262 | KS | Primary |
Addresses
Primary practice location
1210 N Washington
Plainville, KS 67663-1632
Mailing address
1210 N Washington
Plainville, KS 67663-1632
Phone (785) 434-2622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100376880C | 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 |
|---|---|---|---|
| 04-28262 | KS | MD | Family Medicine Physician |
Interoperability endpoints
- admin@postrockfamilymedicine.e-mdsdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1841303807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 N WASHINGTON",
"city": "PLAINVILLE",
"state": "KS",
"postal_code": "676631632",
"telephone_number": "785-434-2622",
"fax_number": "785-434-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 N WASHINGTON",
"city": "PLAINVILLE",
"state": "KS",
"postal_code": "676631632",
"telephone_number": "785-434-2622",
"fax_number": "785-434-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRULL",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "04-28262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100376880C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.