Brunston, Robert L

Brunston, Robert L is an sole proprietor health care provider with primary practice located at 1720A Medical Park Dr Suite 180, Biloxi MS 39532-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brunston, Robert L can be contacted via phone (228) 396-1735.

Contact Information

Primary practice address
1720A Medical Park Dr Suite 180 Biloxi MS 39532-2129
Phone: (228) 396-1735
Fax: (228) 396-1737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17394 Mississippi

Profile Details

NPI number 1265420467
LBN Legal business name Brunston, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Aug 12th, 2014 - about 11 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 1265420467 NPPES
Mississippi MEDICAID 00124776

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