CAROLYN MARIE BRUNNER PA-C
NPI 1497063291
Physician Assistant in Saint Louis, MO

Active since September 15, 2010
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100(314) 289-7648 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carolyn Marie Brunner Pa-c NPPES

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

CAROLYN MARIE BRUNNER PA-C (NPI 1497063291) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2012042176) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1497063291
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLYN MARIE BRUNNERCredential: PA-C
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 652-4100 · Fax (314) 289-7648
Fax(314) 289-7648
Sole ProprietorNo
Enumeration DateSeptember 15, 2010
Last NPPES UpdateOctober 27, 2014
NPI 1497063291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MO · 2012042176 Licensed in IL · 085003859
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
915 N GRAND BLVD, Saint Louis, MO 63106

Other Identifiers 1

Medicare PINIL3374042IL

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.

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106

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 Carolyn Brunner's NPI number?

The NPI number for Carolyn Brunner is 1497063291. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Carolyn Brunner located?

Carolyn Brunner practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Carolyn Brunner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Brunner was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.