MICHAEL DEAN BRUNSON MD NPI 1679500102

NPI Information

NPI: 1679500102
Provider Name: MICHAEL DEAN BRUNSON, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: MAURY REGIONAL MEDICAL GROUP, INC

PECOS Registration: Yes

Address:
2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN
ZIP 37919
Phone: (865) 588-8831
Get Directions

Michael Dean Brunson, MD is a pulmonary disease internal medicine in Knoxville, TN with 32 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Michael Dean Brunson, MD NPI is 1679500102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1992

The provider's business location address is:

2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN
ZIP 37919-333
Phone: (865) 588-8831
Fax: (865) 588-8841

The NPI 1679500102 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 6/28/2006 and was last updated on 4/4/2011.

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		27046	TENNESSEE	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	27046	TENNESSEE	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	3706633	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	LEGACY GROUP
2	F60005	MEDICARE UPIN
3	3867691	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	LEGACY PIN
4	290013994	OTHER	TENNESSEE	RR MEDICARE
5	3867691	MEDICAID	TENNESSEE

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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