Individual provider Active NPI

Alice Brunecky, M.D., DABMA

  • Internal Medicine Physician
  • Broomfield, CO
National Provider Identifier
1902982291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31350 Issued in CO
Practice address
7050 W 120TH Ave
Suite 121
Broomfield, CO 80020-2801
Phone
(303) 438-2050
Fax
(303) 438-6644
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31350 CO Primary

Addresses

Primary practice location

7050 W 120TH Ave
Suite 121
Broomfield, CO 80020-2801

Mailing address

11986 W 70TH PL
Arvada, CO 80004-2524
Phone (303) 438-2050

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31350COMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902982291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11986 W 70TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042524",
            "telephone_number": "303-438-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W 120TH AVE",
            "address_2": "SUITE 121",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202801",
            "telephone_number": "303-438-2050",
            "fax_number": "303-438-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNECKY",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "M.D., DABMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "31350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • 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.