LARRY R. BRUNZLICK MD – NPI #1770646721
Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
LARRY BRUNZLICK is a physician located in MEDFORD, WI. NPPES has assigned the NPI number 1770646721 to LARRY BRUNZLICK on December 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services
The NPI profile was previously updated about 14 years ago on May 15, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY BRUNZLICK below.
NPI Profile for
LARRY R. BRUNZLICK
(more than 19 years ago)
MEDFORD, WI 54451 Phone: (715) 748-8100 Fax: (715) 748-7590
Identifiers for LARRY BRUNZLICK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | WI | 30461100 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207PE0004X - Emergency Medicine / Emergency Medical Services (Primary) |
WI | 24477 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
LARRY BRUNZLICK is affiliated with the following medical group(s):
- HOSPITAL
- ASCENSION OUR LADY OF VICTORY HOSPITAL1120 PINE ST
STANLEY, WI 54768 - ASPIRUS MEDFORD HOSPITAL & CLINICS, INC135 S GIBSON ST
MEDFORD, WI 54451
- ASCENSION OUR LADY OF VICTORY HOSPITAL1120 PINE ST
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See the complete CMS Data Dissemination Notice here.