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General NPI Number Information
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NPI Number | 1487856670
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Entity Type | Individual
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Provider Name | MICHAEL JOHN BRUMFIELD D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 285 W 12TH ST STE 112
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City | PERU
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State | IN
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Zip | 46970-1654
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Country | US
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Telephone | 765-475-2388
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Fax | 260-479-2928
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Provider Business Mailing Address
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Address Line | 285 W 12TH ST STE 112
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City | PERU
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State | IN
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Zip | 46970-1654
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Country | US
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Telephone | 765-475-2388
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Fax | 260-479-2928
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 02004189A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 005854
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License Number State | AZ
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