Dr Timothy Brunelle, is a
Clinical Neuropsychologist based in Boulder, Colorado. Dr Timothy Brunelle is licensed to practice in Colorado (license number 5524) and his current practice location is
255 Canyon Blvd Ste 200, Boulder, Colorado. He can be reached at his office (for appointments etc.) via phone at
(720) 744-0577.
NPI number for Dr Timothy Brunelle is 1225488349 and his current mailing address is 255 Canyon Blvd Ste 200, Boulder, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225488349.
Healthcare Provider's Profile
| Full Name | Dr Timothy Brunelle |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 255 Canyon Blvd Ste 200, Boulder, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225488349
- Provider Enumeration Date: 06/20/2016
- Last Update Date: 01/31/2022
Medical Identifiers
Medical identifiers for Dr Timothy Brunelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225488349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 5524 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Brunelle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Timothy Brunelle,
255 Canyon Blvd Ste 200,
Boulder, CO 80302-4954
Ph: (720) 744-0577 | Dr Timothy Brunelle,
255 Canyon Blvd Ste 200,
Boulder, CO 80302-4954
Ph: (720) 744-0577 |
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