KERMIT BRION BRUNELLE M.D. NPI 1477529006

NPI Information

NPI: 1477529006
Provider Name: KERMIT BRION BRUNELLE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14 BALDWIN LN
BEDFORD, NH
ZIP 03110
Phone: (603) 661-6289
Get Directions

Kermit Brion Brunelle, M.D. is a pediatrics in Bedford, NH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kermit Brion Brunelle, M.D. NPI is 1477529006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 BALDWIN LN
BEDFORD, NH
ZIP 03110-227
Phone: (603) 661-6289
Fax: (603) 471-2537

The NPI 1477529006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 8/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	2020-01293	NORTH CAROLINA	No
2	208000000X	Pediatrics	67822	MINNESOTA	No
3	208000000X	Pediatrics	MD466750	PENNSYLVANIA	No
4	208000000X	Pediatrics	8408	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29587	OTHER	NEW HAMPSHIRE	CIGNA - HEALTHSOURCE
2	020518021	OTHER	NEW HAMPSHIRE	CIGNA
3	020518021	OTHER	NEW HAMPSHIRE	ONE HEALTH - GREAT WEST
4	020518021	OTHER	NEW HAMPSHIRE	UNITED HEALTHCARE
5	020518021	OTHER	NEW HAMPSHIRE	TRI CARE
6	2375234	OTHER	NEW HAMPSHIRE	AETNA HMO
7	4570918	OTHER	NEW HAMPSHIRE	AETNA - NON HMO
8	020518021	OTHER	NEW HAMPSHIRE	HCVM
9	204146	OTHER	NEW HAMPSHIRE	HARVARD
10	0105100YPNH01	OTHER	NEW HAMPSHIRE	ANTHEM BLUE CROSS
11	3094016	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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