DR. JUSTIN BRUNER (D.O.) – Obstetrics & Gynecology Physician, NPI 1346580842
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JUSTIN BRUNER (D.O.)
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Fax: (740) 689-6698
Type: Mailing
9850 W ST LUKES DR
NAMPA, ID 836877912
Phone: (208) 381-2267
Type: Location
235 E ROWAN AVE STE 102
SPOKANE, WA 992071240
Phone: (509) 489-2101
Type: Mailing
112 N Ewing St
Lancaster, OH 431303307
Phone: (740) 689-6690
Fax: (740) 689-6698
Type: Location
401 N EWING ST
LANCASTER, OH 431303372
Phone: (740) 689-6690
Fax: (740) 689-6698
Type: Mailing
112 N EWING ST
LANCASTER, OH 431303307
Phone: (740) 689-6690
Fax: (740) 689-6698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230626001916 | I | Obstetrics/Gynecology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Certified Nurse Midwife (Cnm) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | WA | |
| Certified Nurse Midwife (Cnm) | WA | |
| Nurse Practitioner | CA | |
| - | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA |
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