DR. KRISTYN NICOLE BRUNDIDGE MD
NPI 1063260156
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Q: What is Kristyn Brundidge's NPI number?

The NPI number for Kristyn Brundidge is 1063260156. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Kristyn Brundidge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kristyn Brundidge was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2024PECOS Enrolled

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368, ANN ARBOR, MI 48109(734) 998-2020 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kristyn Nicole Brundidge Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTYN NICOLE BRUNDIDGE MD (NPI 1063260156) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052257) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063260156

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KRISTYN NICOLE BRUNDIDGECredential: MD

Location Address1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368Ann Arbor, MI 48109

Mailing Address1500 E Medical Center Dr., 3116 Tc, Spc 5368Ann Arbor, MI 48109 · (734) 998-2020

Phone(734) 998-2020

Sole ProprietorNo

Enumeration DateMay 13, 2024

Last NPPES UpdateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1063260156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351052257

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR., Ann Arbor, MI 48109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristyn Nicole Brundidge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAHUL CHANDWANI MD

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC
ANN ARBOR, MI 48109

Washtenaw County (734) 998-2020

FRANK C. CACKOWSKI MD

Internal Medicine (Medical Oncology)

1500 E MEDICAL CENTER DR., B1 FLOOR CANCER RECP D
ANN ARBOR, MI 48109

Washtenaw County (734) 647-8903

DR. FAITH IZZARD VIETOR MD

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368
ANN ARBOR, MI 48109

Washtenaw County (734) 998-2020

GEORGE CONSTANTINE CHRISAFIS MD

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368
ANN ARBOR, MI 48109

Washtenaw County (734) 998-2020

LAUREN CATHERINE KASMIKHA

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368
ANN ARBOR, MI 48109

Washtenaw County (734) 798-2020

ALEXANDRA JULIA VITA MD

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368
ANN ARBOR, MI 48109

Washtenaw County (734) 998-2020

DR. MAISHA RASHID ANIKA MD

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368
ANN ARBOR, MI 48109

Washtenaw County (734) 998-2020

SAMUEL POWELL WILCOX MD

Student in an Organized Health Care Education/Training Program

1500 E MEDICAL CENTER DR., 3116 TC, SPC 5368
ANN ARBOR, MI 48109

Washtenaw County (734) 998-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristyn Brundidge's NPI number?

The NPI number for Kristyn Brundidge is 1063260156. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Kristyn Brundidge located?

Kristyn Brundidge practices at 1500 E Medical Center Dr. 3116 Tc, Spc 5368, Ann Arbor, MI 48109. The listed phone number is (734) 998-2020.

What is Kristyn Brundidge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristyn Brundidge enrolled in Medicare?

Yes. Kristyn Brundidge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristyn Brundidge was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.