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ABIGAIL BOLLING BRUNS MD
NPI 1710823349
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since April 27, 2026PECOS Enrolled
22250 PROVIDENCE DR, 7PMB SUITE NO. 703, SOUTHFIELD, MI 48075(248) 849-8117(248) 849-8117 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abigail Bolling Bruns Md NPPES

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

ABIGAIL BOLLING BRUNS MD (NPI 1710823349) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710823349
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameABIGAIL BOLLING BRUNSCredential: MD
Location Address22250 PROVIDENCE DR, 7PMB SUITE NO. 703Southfield, MI 48075-4825
Mailing Address22250 Providence Dr, 7pmb Suite No. 703aSouthfield, MI 48075-4818 · (248) 849-5862 · Fax (248) 849-8117
Phone(248) 849-8117
Fax(248) 849-8117
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1710823349 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
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.
22250 PROVIDENCE DR, Southfield, MI 48075
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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)

Abigail Bolling Bruns 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.

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.

MARCY L EPSTEIN PHARMD
Pharmacist
22250 PROVIDENCE DR
SOUTHFIELD, MI 48075
Oakland County (248) 849-3945
BRASWELL DRUE DEEN MD
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
DR. ALASDAIR I.L. MCKENDRICK M.D.
Colon & Rectal Surgery
22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075
Oakland County (248) 557-8780
DR. FREDDY R SOSA M.D.
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR, SUITE 703
SOUTHFIELD, MI 48075
Oakland County (248) 569-1770
JEFFEREY E MICHAELSON MD
Orthopaedic Surgery
22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 48075
Oakland County (866) 974-2673
LAMAURICE H GARDNER PSYD
Psychologist (Clinical)
22250 PROVIDENCE DR, SUITE 207
SOUTHFIELD, MI 48075
Oakland County (313) 576-1000
KATHERINE CYBINSKI D.O.
Family Medicine
22250 PROVIDENCE DR, SUITE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
RALPH DONALD PEARLMAN MD
Colon & Rectal Surgery
22250 PROVIDENCE DR, STE #702
SOUTHFIELD, MI 48075
Oakland County (248) 557-9650

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 Abigail Bruns's NPI number?

The NPI number for Abigail Bruns is 1710823349. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Abigail Bruns located?

Abigail Bruns practices at 22250 Providence Dr 7pmb Suite No. 703, Southfield, MI 48075. The listed phone number is (248) 849-8117.

What is Abigail Bruns's specialty?

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

Is Abigail Bruns enrolled in Medicare?

Yes. Abigail Bruns is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abigail Bruns was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.