| Glen A Brunk, MD | |
|
679 E County Line Rd, Greenwood, IN 46143-1049 | |
| (317) 859-7222 | |
| (317) 859-7220 |
| Full Name | Glen A Brunk |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 679 E County Line Rd, Greenwood, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174537914 | NPI | - | NPPES |
| 100194370 | Other | IN | MEDICAID GROUP NUMBER |
| 340012486 | Other | IN | MEDICARE RAILROAD |
| 000000091688 | Other | IN | ANTHEM PROVIDER NUMBER |
| 340012514 | Other | IN | MEDICARE RAILROAD |
| 1487680518 | Other | GROUP NPI # | |
| 100352480 | Medicaid | IN | |
| 340012500 | Other | IN | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01026203A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Glen A Brunk, MD 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: (317) 859-7222 | Glen A Brunk, MD 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: (317) 859-7222 |
Dr. James William Faulkner Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 679 E County Line Rd, Greenwood, IN 46143 Phone: 317-890-2000 | |
Dr. Eugene Blanchard Cone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 679 E County Line Rd, Greenwood, IN 46143 Phone: 317-890-2000 Fax: 317-859-7220 | |
Dr. Samuel T Thompson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 679 E County Line Rd, Greenwood, IN 46143 Phone: 317-859-7222 Fax: 317-859-7220 | |
Jeffery D. Vaught, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 679 E County Line Rd, Greenwood, IN 46143 Phone: 317-859-7222 Fax: 317-859-7220 | |
Brian Orr, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 679 E County Line Rd, Greenwood, IN 46143 Phone: 317-890-2000 | |
William Terry Jones, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 679 E County Line Rd, Greenwood, IN 46143 Phone: 317-859-7222 Fax: 317-859-7220 |