Active NPI
Alice Brunecky, M.D., DABMA
- Internal Medicine Physician
- Broomfield, CO
National Provider Identifier
1902982291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31350
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31350 | CO | MD | Internal 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.