Provider Type Icon

VANDA BRUNER MD PA NPI 1760739775


NPI Information

NPI: 1760739775
Provider Name: VANDA BRUNER MD PA
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
719 N BEERS ST
SUITE 1A
HOLMDEL, NJ
ZIP 07733
Phone: (732) 264-4646
Get Directions

VANDA BRUNER MD PA is an adolescent medicine pediatrics in Holmdel, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. VANDA BRUNER MD PA NPI is 1760739775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

719 N BEERS ST
SUITE 1A
HOLMDEL, NJ
ZIP 07733-522
Phone: (732) 264-4646

The provider's authorized official is Vanda Bruner .
The authorized official title is President and has the following contact phone number (732) 946-7951.

The enumeration date for this NPI number is 8/8/2012 and was last updated on 8/8/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineMA57098NEW JERSEYYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.