Provider Demographics
NPI:1881680700
Name:BRUNSKILL, DENNIS EVERETT (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:EVERETT
Last Name:BRUNSKILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HOSPITAL WAY
Mailing Address - Street 2:PAINTER BUILDING
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2004
Mailing Address - Country:US
Mailing Address - Phone:412-673-4453
Mailing Address - Fax:412-673-4453
Practice Address - Street 1:500 HOSPITAL WAY
Practice Address - Street 2:PAINTER BUILDING
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2004
Practice Address - Country:US
Practice Address - Phone:412-673-4453
Practice Address - Fax:412-673-4453
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014920E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
094879OtherHIGHMARK BC/BS
2301721OtherAETNA/USHC
PA0006473130003Medicaid
094879OtherHIGHMARK BC/BS
094879FJQMedicare ID - Type Unspecified