Active NPIIndividual provider

Ms. Jody N Brunner, PHYSICIAN ASSISTANT

Physician Assistant in Boston, Massachusetts

NPI Number1639208168
Practice location
75 Francis St, Division Of Cardiac Surgery / Bwh, Boston, MA 02115-6110
Fax
973-535-6244
Last updated
August 12, 2022

Jody Noel Brunner is a Physician Assistant based in Boston, MA. Jody Noel Brunner practices in Boston, MA and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Jody Noel Brunner is 1639208168 and holds a License No. PA2586 (MA). The current practice location address for Jody Noel Brunner is 75 Francis St, Division Of Cardiac Surgery / Bwh, Boston, MA 02115-6110 and can be reached out via phone at 617-732-7678 and via fax at 973-535-6244.

Provider Profile Details

NPI Number
1639208168
Provider Name
Jody Noel Brunner
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
75 Francis St, Division Of Cardiac Surgery / Bwh, Boston, MA 02115-6110
Phone Number
617-732-7678
Fax Number
973-535-6244
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2007
Last Update Date
August 12, 2022
Certification Date
August 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Francis St
Division Of Cardiac Surgery / Bwh
Boston, MA 02115-6110
City
Boston
Zip
02115-6110
Phone Number
617-732-7678
Fax Number
973-535-6244
Boston, MA 02115Get directions →

Provider Business Mailing Address Details

Address
75 Francis St
Division Of Cardiac Surgery / Bwh
Boston, MA 02115-6110
City
Boston
State
MA
Zip
02115-6110
Phone Number
617-732-7678
Fax Number
973-535-6244

License Information

License Number (1)
PA2586
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
25MP00143900
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jody N Brunner, PHYSICIAN ASSISTANT?

The NPI number of Ms. Jody N Brunner, PHYSICIAN ASSISTANT is 1639208168. It was assigned on March 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jody N Brunner, PHYSICIAN ASSISTANT?

Ms. Jody N Brunner, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA2586.

Where does Ms. Jody N Brunner, PHYSICIAN ASSISTANT practice?

The practice location is 75 Francis St, Division Of Cardiac Surgery / Bwh, Boston, MA 02115-6110. The office can be reached at 617-732-7678 (phone) or 973-535-6244 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639208168 directly on the NPPES registry website.

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