Khadijah Brunner
NPI 1174282743 · Other Technician · White Bear Lake, MN
Khadijah Brunner is a Other Technician provider in White Bear Lake, MN (NPI 1174282743).
Provider details
- NPI number
- 1174282743
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-10
- Last updated
- 2021-12-12
- Certified
- 2021-12-12
Frequently asked questions
- What is Khadijah Brunner's NPI number?
- Khadijah Brunner's National Provider Identifier (NPI) is 1174282743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khadijah Brunner's specialty?
- Khadijah Brunner is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Khadijah Brunner located?
- Khadijah Brunner's practice location on file with NPPES is 1011 Meadowlands Dr, White Bear Lake, MN 55127-2339.
- What is Khadijah Brunner's phone number?
- The practice phone number listed in the NPPES registry for Khadijah Brunner is (612) 315-1976.
- Is Khadijah Brunner's NPI active?
- Yes — Khadijah Brunner's NPI (1174282743) is active in the NPPES registry as of the last update on 2021-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.