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DENNIS M. BRUNEAU PA-C
NPI 1497810915
Physician Assistant in Christmas Valley, OR

Active since December 26, 2006
87520 BAY RD, CHRISTMAS VALLEY, OR 97641(541) 576-2343(541) 576-2869 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dennis M. Bruneau Pa-c NPPES

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

DENNIS M. BRUNEAU PA-C (NPI 1497810915) is an individual physician assistant in Christmas Valley, Oregon, licensed in Oregon (PA00217) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1497810915
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDENNIS M. BRUNEAUCredential: PA-C
Location Address87520 BAY RDChristmas Valley, OR 97641-0377
Mailing AddressPo Box 3300La Pine, OR 97739-3300 · (541) 576-2343 · Fax (541) 576-2869
Phone(541) 576-2343
Fax(541) 576-2869
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateOctober 15, 2015
✔ NPI 1497810915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA00217
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.
87520 BAY RD, Christmas Valley, OR 97641
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Other Identifiers 3

Medicare UPINS30220
Other970003593Medicare Railroad
Medicaid182817OR

Other Providers at the Same Location NPPES 7

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

PAT WIDENOJA FNP
Clinic/Center
87520 BAY RD, POB 377
CHRISTMAS VALLEY, OR 97641
Lake County (541) 576-2343
DENISE LEE GRIFFITHS FNP
Nurse Practitioner (Family)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Lake County (541) 536-3435
NORTH LAKE CLINIC, LLC
Clinic/Center (Rural Health)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Lake County (541) 576-2343
LARISSA BRIAUN HACKETT
Student in an Organized Health Care Education/Training Program
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Lake County (541) 947-6021
EMILY LOUISE MERWIN
Case Manager/Care Coordinator
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Lake County (541) 947-6021
ALEXANDRA DAY
Peer Specialist
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Lake County (541) 947-6021
HOLLY VORE QMHP1
Counselor (Mental Health)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Lake County (541) 947-2114

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 Dennis Bruneau's NPI number?

The NPI number for Dennis Bruneau is 1497810915. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Dennis Bruneau located?

Dennis Bruneau practices at 87520 Bay Rd, Christmas Valley, OR 97641. The listed phone number is (541) 576-2343.

What is Dennis Bruneau'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 Dennis Bruneau was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.