Organization Active NPI

Lawrence E Brunel , M.D., Inc.

  • Specialist
  • Sonora, CA
National Provider Identifier
1932240587
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G286930 Issued in CA
Legal business name
LAWRENCE E BRUNEL , M.D., INC.
Practice address
900 Greenley Rd
Suite 920
Sonora, CA 95370-5287
Phone
(209) 532-5121
Fax
(209) 532-6017
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Lawrence E Brunel, M.D. F.A.C.O.G.
Title
Owner
Phone
(209) 532-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G286930 CA Primary

Addresses

Primary practice location

900 Greenley Rd
Suite 920
Sonora, CA 95370-5287

Mailing address

900 Greenley Rd
Suite 920
Sonora, CA 95370-5287
Phone (209) 532-5121

Other identifiers 1

IdentifierTypeStateIssuer
00G286930MedicaidCA

Other names 1

  • SONORA MEDICAL GROUP INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

900 Greenley Rd
Ste 920
Sonora, CA 95370
Phone (209) 532-5121

4 S Forest Rd
Sonora, CA 95370
Phone (209) 532-5121

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1932240587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD",
            "address_2": "SUITE 920",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705287",
            "telephone_number": "209-532-5121",
            "fax_number": "209-532-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD",
            "address_2": "SUITE 920",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705287",
            "telephone_number": "209-532-5121",
            "fax_number": "209-532-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE E BRUNEL , M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BRUNEL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-532-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.  F.A.C.O.G."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G286930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G286930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONORA MEDICAL GROUP INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.