Physician Assistant
EDMUND BRUNING
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801679469 · enumerated 2023-08-17 · record updated 2023-11-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 10630 TOWN HALL RD, MASCOUTAH, IL, 62258-3942 (618) 541-0250 Google Maps Apple Maps OpenStreetMap
- Mailing address 10630 TOWN HALL RD, MASCOUTAH, IL, 62258-3942 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant 363A00000X · Primary · License 2023043101 MO
In this directory
Locations and evidence
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Practice location
MASCOUTAH, IL, 622583942
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.