Active NPI
Kathleen S Brunts, M.D.
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1851382204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R3D04
- Practice address
- 1027 Bellevue Ave
Suite 107
Saint Louis, MO 63117-1851 - Phone
- (314) 645-3743
- Fax
- (314) 647-7967
- NPI assigned
- Nov 3, 2005
- 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 | R3D04 | MO | Primary |
Addresses
Primary practice location
1027 Bellevue Ave
Suite 107
Saint Louis, MO 63117-1851
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 645-3743
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A29035 | Other | MO | MERCY |
| 000000010009 | Other | MO | ESSENCE |
| 2223568 | Other | AETNA US HEALTHCARE | |
| 4004035 | Other | MO | AETNA |
| 127463 | Other | MO | GHP |
| 0400397 | Other | MO | UHC |
| 28786 | Other | MO | BCBS |
| 100112 | Other | MO | HEALTHLINK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1851382204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-645-3743",
"fax_number": "314-647-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 BELLEVUE AVE",
"address_2": "SUITE 107",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171851",
"telephone_number": "314-645-3743",
"fax_number": "314-647-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNTS",
"first_name": "KATHLEEN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R3D04",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "A29035",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "000000010009",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2223568",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4004035",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "127463",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0400397",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28786",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "100112",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.