NPI 1053640763 DR. MATT E BRUNSON M.D. PELHAM AL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Matt E Brunson - NPI: 1053640763

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. MATT E BRUNSON
NPI Number: 1053640763
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 11237
Business Practice Address: 2411 Royal Ln
Pelham, AL - 351242622
Business Phone Number: 2059088770
Business Fax Number: 2057339269
Mailing Address: 2411 Royal Ln,
PELHAM
State: AL
Postal Code: 351242622
Phone Number: 2059088770
Fax Number: 2057339269
NPI Enumeration Date: 12/09/2009
NPI Last Update Date: 12/09/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 11237
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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