MICHAEL R. BRUNSON M.D. – NPI #1114160215
Pediatrics

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.

MICHAEL BRUNSON is a physician located in APO, AP. NPPES has assigned the NPI number 1114160215 to MICHAEL BRUNSON on April 20, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 4 years ago on Jun 30, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BRUNSON below.

NPI Profile for
MICHAEL R. BRUNSON

NPI Number
1114160215
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL R. BRUNSON
Credentials
M.D.
Primary location
35TH MDG
UNIT 5024
APO, AP 96319
Phone: (315) 226-6495 Fax:
Mailing address
4102 PINION DRIVE, 10TH MEDICAL GROUP
USAF ACADEMY, CO 80840-2502
Phone: (719) 333-3717 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
NE 26095
390200000X
- Student in an Organized Health Care Education/Training Program
208000000X
- Pediatrics
NE 26095

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.