DR. KRISTYN NICOLE BRUNDIDGE MD
NPI 1063260156
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
NPI Status: Active since May 13, 2024
Contact Information
1500 E MEDICAL CENTER DR.
3116 TC, SPC 5368
ANN ARBOR, MI
ZIP 48109
Phone: (734) 998-2020
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About KRISTYN BRUNDIDGE
This page provides the complete NPI Profile along with additional information for Kristyn Brundidge, a primary care provider established in Ann Arbor, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1063260156 assigned on May 2024. The practitioner's primary taxonomy code is 390200000X with license number 4351052257 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1063260156
- Provider Name
- DR. KRISTYN NICOLE BRUNDIDGE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109
- Location Phone
- (734) 998-2020
- Mailing Address
- 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109
- Mailing Phone
- (734) 998-2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-13-2024
- Last Update Date
- 05-14-2024
- Code Navigator
A primary care provider (PCP) like Kristyn Brundidge sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 4351052257
- License State
- MI
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Kristyn Brundidge is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. KRISTYN NICOLE BRUNDIDGE MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 6 | 0 | 1 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 6 | 0 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 6 + 0 + 1 + 1 + 0 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1063260156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760129076 | AMELIA AYNAZ MAHMOODZADEH KHOEI Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. TAUBMAN CENTER, 2ND FLOOR, RECEPTION C ANN ARBOR, MI 48109 (734) 936-7030 |
| 1174816045 | FRANK C. CACKOWSKI MD Individual | Internal Medicine (Medical Oncology) | 1500 E MEDICAL CENTER DR. B1 FLOOR CANCER RECP D ANN ARBOR, MI 48109 (734) 647-8903 |
| 1225886211 | DR. FAITH IZZARD VIETOR MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1356199889 | GEORGE CONSTANTINE CHRISAFIS MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1396593356 | LAUREN CATHERINE KASMIKHA Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 798-2020 |
| 1407604879 | ALEXANDRA JULIA VITA MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1477301471 | SAMUEL POWELL WILCOX MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1992554174 | DR. NATHAN SHAUL MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1083453070 | DR. RAHUL CHANDWANI MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC ANN ARBOR, MI 48109 (734) 998-2020 |
| 1457190910 | DR. MAISHA RASHID ANIKA MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1609618685 | MADISON BUTLER MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1700634482 | DR. HANNAH ALEXANDRA BEARHAM MD Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1194566596 | DR. MAEVE MARGARET PASCOE KANE MD, MSC Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. TC 3116, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
| 1477354710 | JOSHUA SHOEMAKER MD, MS, MED Individual | Student in an Organized Health Care Education/Training Program | 1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368 ANN ARBOR, MI 48109 (734) 998-2020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063260156, enumerated in the NPI registry as an "individual" on May 13, 2024
The provider is located at 1500 E Medical Center Dr. 3116 Tc, Spc 5368 Ann Arbor, Mi 48109 and the phone number is (734) 998-2020
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 13, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.