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Glen A. Brunk, MD
Urology Physician in Greenwood, Indiana
NPI 1174537914

Glen A. Brunk is a Urology Physician based in Greenwood, IN. Glen A. Brunk practices in Greenwood, IN and has the professional credentials of MD. The NPI Number for Glen A. Brunk is 1174537914 and holds a License No. 01026203A (Indiana).

The current practice location address for Glen A. Brunk is 679 E County Line Rd, Greenwood, IN and can be reached out via phone at 317-859-7222 and via fax at 317-859-7220.

Location: 679 E County Line Rd, Greenwood, IN, 46143-1049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174537914
Provider Name
Glen A. Brunk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
679 E County Line Rd, Greenwood, IN, 46143-1049
Phone Number
317-859-7222
Fax Number
317-859-7220
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100194370 01 IN MEDICAID GROUP NUMBER
340012486 01 IN MEDICARE RAILROAD
000000091688 01 IN ANTHEM PROVIDER NUMBER
340012514 01 IN MEDICARE RAILROAD
1487680518 01 GROUP NPI #
100352480 05 IN
340012500 01 IN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
679 E County Line Rd
City
Greenwood
State
Indiana
Zip
46143-1049
Phone Number
317-859-7222
Fax Number
317-859-7220
person
Provider Business Mailing Address Details
Address
679 E County Line Rd
City
Greenwood
State
Indiana
Zip
46143-1049
Phone Number
317-859-7222
Fax Number
317-859-7220
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
01026203A (Indiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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