Individual
KERMIT BRION BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 BALDWIN LN, BEDFORD, NH 03110-4227
(603) 661-6289
(603) 471-2537
Mailing address
14 BALDWIN LN, BEDFORD, NH 03110-4227
(603) 661-6289
(603) 471-2537
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2020-01293
NC
208000000X
Pediatrics Physician
67822
MN
208000000X
Pediatrics Physician
Primary
8408
NH
208000000X
Pediatrics Physician
MD466750
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105100YPNH01
ANTHEM BLUE CROSS
NH
01
—
020518021
HCVM
NH
01
—
204146
HARVARD
NH
01
—
2375234
AETNA HMO
NH
01
—
29587
CIGNA - HEALTHSOURCE
NH
05
—
3094016
—
NH
01
—
4570918
AETNA - NON HMO
NH
Enumeration date
02/24/2006
Last updated
04/02/2025
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