| Dr David Martin Bruenderman, MD | |
|
320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 | |
| (502) 625-5584 | |
| (502) 426-2264 |
| Full Name | Dr David Martin Bruenderman |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 320 Whittington Pkwy, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407808181 | NPI | - | NPPES |
| K095234-KOMG | Other | KY | MEDICARE PIN |
| 64240401 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 24040 (Kentucky) | Primary |
| Entity Name | One Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174513246 PECOS PAC ID: 7113816174 Enrollment ID: O20040315001249 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Dental Surgicenter Of Louisville Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255846770 PECOS PAC ID: 9830485606 Enrollment ID: O20171220001924 |
| Entity Name | Professional Anesthesia Services Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Martin Bruenderman, MD 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 Ph: (502) 625-5584 | Dr David Martin Bruenderman, MD 320 Whittington Pkwy, Suite 301, Louisville, KY 40222-4928 Ph: (502) 625-5584 |
Kari Beth Christie, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5851 | |
Blake Evans, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 120 Executive Park, Louisville, KY 40207 Phone: 502-855-7200 Fax: 502-855-7201 | |
Peter S Lansing, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-259-5391 Fax: 502-259-9733 | |
Dr. Mahesh Agrawal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 332 W Broadway, Suite 810, Louisville, KY 40202 Phone: 502-583-0909 | |
Dr. Kavita Mehta, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 233 E Gray St, Louisville, KY 40202 Phone: 502-629-2880 | |
Richard Booth Harris, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 Bluegrass Ave, Louisville, KY 40215 Phone: 502-361-6617 Fax: 502-361-6637 | |
Dr. Randall Joshua Campbell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Attn: Ruby Poltner, Louisville, KY 40217 Phone: 502-636-7160 |