DR. DOMINIQUE MICHELLE BRUNCKO M.D.
NPI 1992445001
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since March 29, 2022
1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030(832) 824-1170 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Dominique Michelle Bruncko M.d. NPPES

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

DR. DOMINIQUE MICHELLE BRUNCKO M.D. (NPI 1992445001) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1992445001
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. DOMINIQUE MICHELLE BRUNCKOCredential: M.D.
Location Address1 BAYLOR PLZ # BCM320Houston, TX 77030-3498
Mailing Address530 Council CirVernon Hills, IL 60061-1648 · (847) 337-5134
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1992445001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1 BAYLOR PLZ # BCM320, Houston, TX 77030

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.

Pediatrics
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Pediatrics
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320, DEPARTMENT OF PEDIATRICS
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Pediatrics
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992445001, enumerated as an "individual" on March 29, 2022.

The provider is located at 1 BAYLOR PLZ # BCM320 HOUSTON, TX 77030 and the phone number is (832) 824-1170.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.