ADAM THOMAS BRUNSON AG-CNS NPI 1811456247

NPI Information

NPI: 1811456247
Provider Name: ADAM THOMAS BRUNSON, AG-CNS
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4200 JACKSON AVE
AUSTIN, TX
ZIP 78731
Phone: (512) 454-4711
Get Directions

Adam Thomas Brunson, AG-CNS is a gerontology clinical nurse specialist in Austin, TX with 5 years of experience. Adam Thomas Brunson, AG-CNS NPI is 1811456247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 JACKSON AVE
AUSTIN, TX
ZIP 78731-060
Phone: (512) 454-4711

The NPI 1811456247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2019 and was last updated on 9/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0600X	Registered Nurse	Gerontology	926072	TEXAS	No
2	364SG0600X	Clinical Nurse Specialist	Gerontology	API42166	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1376575886	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »