Kirstin Ellen Brunner, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

OS006234L Issued in PA

Practice address

1020 East 1Oth Street
Erie, PA 16503-0002

Phone

(814) 453-4309

Fax

(814) 459-1191

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarah a. Reed Children'S Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Erie, PA
  • NPI 1235243924
  NPD (past)
• Sarah a. Reed Children'S Center

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1376177147
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891776993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 LUNA LN",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064719",
            "telephone_number": "814-453-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 EAST 1OTH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165030002",
            "telephone_number": "814-453-4309",
            "fax_number": "814-459-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "KIRSTIN",
        "middle_name": "ELLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OS006234L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696143",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Bruce, AUD
• Michael Denis Brudy, DO
• Rachel Gabrielle Bruening, PA-C
• Jill Marie Brugger, MA, SLP, CCC-SLP
• Roger L Brumagin, PHARMD
• Margaret H. Brunton, CRNA
• Matthew David Bruschi
• Michelle Bruschi, OTR/L
• Marcus Bryant
• Jan K Brydon, MD

• Child & Adolescent Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.