Mr Lenard C Brunsdale, MD | |
170 North 1100 East, American Fork, UT 84003 | |
(801) 714-6570 | |
Not Available |
Full Name | Mr Lenard C Brunsdale |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 170 North 1100 East, American Fork, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770539744 | NPI | - | NPPES |
870636000BR1 | Other | UT | EDUCATORS MUTUAL |
107008822103 | Other | UT | SELECT HEALTH |
589900 | Other | UT | DESERET MUTUAL |
D3098 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 377596 (Utah) | Primary |
Entity Name | North Valley Emergency Physicians Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134177876 PECOS PAC ID: 4789630401 Enrollment ID: O20050325000297 |
Mailing Address | Practice Location Address |
---|---|
Mr Lenard C Brunsdale, MD Po Box 430, Spanish Fork, UT 84660-0430 Ph: (866) 898-7136 | Mr Lenard C Brunsdale, MD 170 North 1100 East, American Fork, UT 84003 Ph: (801) 714-6570 |
Todd Jeffrey Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 480-213-7512 | |
Dr. Craig Bruce Cowan Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4600 | |
Dr. Nathan G Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4650 | |
Mr. Dale W Greenwood, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3552 Fax: 801-855-3558 | |
Mr. Michael S Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570 | |
Dr. Dean W Shelton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570 | |
Mrs. Brenda M Crawford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570 |