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GLEN A. BRUNK M.D.
NPI 1174537914
Urology in Greenwood, IN

Active since July 28, 2006
679 E COUNTY LINE RD, GREENWOOD, IN 46143(317) 859-7222(317) 859-7220 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen A. Brunk M.d. NPPES

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

GLEN A. BRUNK M.D. (NPI 1174537914) is an individual urology provider in Greenwood, Indiana, licensed in Indiana (01026203A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174537914
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGLEN A. BRUNKCredential: M.D.
Location Address679 E COUNTY LINE RDGreenwood, IN 46143-1049
Mailing Address679 E County Line RdGreenwood, IN 46143-1049 · (317) 859-7222 · Fax (317) 859-4268
Phone(317) 859-7222
Fax(317) 859-7220
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1174537914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IN · 01026203A
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
679 E COUNTY LINE RD, Greenwood, IN 46143
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Other Identifiers 7

Other340012486IN · Medicare Railroad
Other340012500IN · Medicare Railroad
Other340012514IN · Medicare Railroad
Other100194370IN · Medicaid Group Number
Medicaid100352480IN
Other1487680518Group Npi #
Other000000091688IN · Anthem Provider Number

Other Providers at the Same Location NPPES 20

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

DR. JAMES WILLIAM FAULKNER III MD
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
DR. WESTON RILEY KITLEY MD
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
DR. EUGENE BLANCHARD CONE M.D.
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
MRS. CHRISTINE ELIZABETH DUBBLE APN
Nurse Practitioner
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
DR. SAMUEL T THOMPSON M.D.
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 859-7222
DR. HUSSEIN AHMED WARDA MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
UROLOGY OF INDIANA, L.L.C.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 885-1250
MRS. RAVEN P BURKERT FNP
Nurse Practitioner (Family)
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 859-7222

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 Glen Brunk's NPI number?

The NPI number for Glen Brunk is 1174537914. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Glen Brunk located?

Glen Brunk practices at 679 E County Line Rd, Greenwood, IN 46143. The listed phone number is (317) 859-7222.

What is Glen Brunk's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Glen Brunk was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.