Brunson, Adam Thomas

Brunson, Adam Thomas is an individual health care provider with primary practice located at 4200 Jackson Ave , Austin TX 78731-6060. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Brunson, Adam Thomas can be contacted via phone (512) 454-4711.

Contact Information

Primary practice address
4200 Jackson Ave Austin TX 78731-6060
Phone: (512) 454-4711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 926072 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X API42166 Texas

Profile Details

NPI number 1811456247
LBN Legal business name Brunson, Adam Thomas
Credentials AG-CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2019
Last updated Sep 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811456247 NPPES
Texas MEDICAID 1376575886

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