DR. MICHAEL RYAN BRUNSON M.D. NPI 1114160215

NPI Information

  • NPI: 1114160215
  • Provider Name: DR. MICHAEL RYAN BRUNSON, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 35TH MDG
    UNIT 5024
    APO, AP
    ZIP 96319
  • Phone: (315) 226-6495

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NPI Details

DR. Michael Ryan Brunson, M.D. is an adolescent medicine pediatrics in Apo, AP. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Michael Ryan Brunson, M.D. NPI is 1114160215. 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:

35TH MDG
UNIT 5024
APO, AP
ZIP 96319
Phone: (315) 226-6495

The enumeration date for this NPI number is 4/20/2009 and was last updated on 6/30/2022.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208000000XPediatrics26095NEBRASKANo
32080A0000XPediatricsAdolescent Medicine26095NEBRASKAYes

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: 11/21/2025

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