Individual
DR. JOSEPH GERARD BRUNGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 COMMODORE ST STE B, PRATT, KS 67124-2995
(620) 672-6454
(620) 672-3488
Mailing address
124 COMMODORE ST STE B, PRATT, KS 67124-2995
(620) 672-6454
(620) 672-3488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-49070
KS
208600000X
Surgery Physician
35.145078
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/03/2017
Last updated
05/06/2026
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