DR. MICHAEL BRUNT M.D. NPI 1063859171

NPI Information

NPI: 1063859171
Provider Name: DR. MICHAEL BRUNT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: WELLSTAR MEDICAL GROUP, LLC

PECOS Registration: Yes

Address:
55 WHITCHER ST NE STE 350
MARIETTA, GA
ZIP 30060
Phone: (770) 424-6893
Get Directions

DR. Michael Brunt, M.D. is a cardiovascular disease internal medicine in Marietta, GA with 11 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Michael Brunt, M.D. NPI is 1063859171. 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:

55 WHITCHER ST NE STE 350
MARIETTA, GA
ZIP 30060-129
Phone: (770) 424-6893
Fax: (770) 528-9938

The NPI 1063859171 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 5/30/2013 and was last updated on 5/4/2021.

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	207R00000X	Internal Medicine		MD15308	RHODE ISLAND	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	85089	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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