John Bryan Brunow

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

208 E Lincoln Way
Jefferson, IA 50129

Phone

(515) 386-8900

Fax

(515) 805-2999

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1932689494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501290446",
            "telephone_number": "515-386-8900",
            "fax_number": "515-805-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E LINCOLN WAY",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "50129",
            "telephone_number": "515-386-8900",
            "fax_number": "515-805-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNOW",
        "first_name": "JOHN",
        "middle_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maribel Castellanos, FNP-C
• Centers for Long Term Care of Iowa (CLC Jefferson)
• Central Iowa Family Eyecare PLLC

• Customized Equipment (DME) in Jefferson, IA
• Providers in Jefferson, IA by specialty
• Customized Equipment (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.