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Contact Information

MATTHEW J BRUNER, DO
1235 E CHEROKEE ST
SPRINGFIELD, MO65804-2203
 Phone: 417-982-0168
 Fax: 417-820-8852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW J BRUNER · (Male)

NPI Number 1386798189
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/22/2007
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 05-34533
  • MO License # 2005025705
  • AR Medicaid 216316003
  • MO Medicaid 1386798189
  • OK Medicaid 200662760A
  • MO Other P01787086 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
  • SAINT LUKE'S SOUTH HOSPITAL - (Acute Care)
    12300 METCALF AVENUE
    OVERLAND PARK, KS 66213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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