JOEL D BRUNSON (NPI# 1043519705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043519705 |
| Entity Type | Individual |
| Full Name | JOEL D BRUNSON |
| Credential | APN |
| Practice Address |
209 Grace Cv Medina TN 38355-8785 |
| Mailing Address |
Po Box 100 Medina TN 38355-0100 |
| Practice Telephone | 7317830400 |
| Practice Fax Number | 7317830402 |
| Mailing Telephone | 7317830400 |
| Mailing Fax Number | 7317830402 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000015545 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 GRACE CV |
| City | MEDINA |
| State | TN |
| Zip Code | 38355-8785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417982315 | Darren R Perry | Nurse Practitioner | 209 Grace Cv, Medina, TN 38355-8785 | 2006-07-11 |
| 1700360211 | Jennifer Elizabeth Rice | Nurse Practitioner | 209 Grace Cv, Medina, TN 38355-8785 | 2018-09-20 |
| 1225150667 | Mechelle T Perry | Nurse Practitioner | 209 Grace Cv, Medina, TN 38355-8785 | 2007-04-05 |
| 1609881150 | Medina Family Medical Clinic PC | Internal Medicine | 209 Grace Cv, Medina, TN 38355-8785 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454511 | Freds Stores of Tennessee Inc | Pharmacy | 211 Three Oaks Drive, Medina, TN 38355 | 2014-11-17 |
| 1023446051 | Three Oaks Pharmacy, LLC | Pharmacy | 259 Three Oaks Dr, Suite A, Medina, TN 38355 | 2013-10-30 |
| 1194097642 | Fuller Home Solutions LLC. | Durable Medical Equipment & Medical Supplies | 91 Milan Highway, Suite D, Medina, TN 38355 | 2012-01-30 |
| 1659662294 | Holly Monroe Wright | Dermatology | 148 Us Highway 45e, Medina, TN 38355 | 2011-05-01 |
| 1124357173 | Brian S Patterson | Dentist | 23 Garrett Dr, Medina, TN 38355 | 2009-12-21 |
| 1417102906 | First Choice Medical Care of Medina, Inc. | Clinic/Center | 605 Hwy 45 East, Medina, TN 38355 | 2008-11-25 |
| 1083755037 | Molly Lee | Optometrist | 25 Middle School Road, Medina, TN 38355 | 2007-02-11 |
| 1447300603 | Donna Boals Schlesinger | Pharmacist | 609 Hwy 45 Bypass, Medina, TN 38355 | 2007-01-11 |
| 1245740547 | Wright Dermatology, Pllc | Dermatology | 148 Us Highway 45e, Medina, TN 38355 | 2017-10-02 |
| 1346579356 | Patterson Family Dentistry | Dentist | 23 Garrett Dr, Medina, TN 38355 | 2009-12-22 |
| Find all providers in zip 38355 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715125 | Marzena Thompson | Nurse Practitioner | 392 Chandler Ct, Medina, OH 44256-6739 | 2020-09-22 |
| 1346898848 | Kolby Rashelle Barton | Nurse Practitioner | 537 Stringtown Rd, Medina, TX 78055-3605 | 2019-08-28 |
| 1821652645 | Travia Monique Taylor | Nurse Practitioner | 3410 Country Club Dr, Medina, OH 44256-8789 | 2019-04-26 |
| 1871064147 | Michael D Gabor Jr. | Nurse Practitioner | 1218 Chapman Ln Unit 5, Medina, OH 44256-6743 | 2018-12-16 |
| 1770084337 | Michelle Marie Marzano | Nurse Practitioner | 5281 Yellowstone Dr, Medina, OH 44256-7121 | 2018-02-27 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1821538547 | Lisa Musat | Nurse Practitioner | 1068 Oak St, Medina, OH 44256-4044 | 2017-02-28 |
| 1407391600 | Kayli Swank | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2016-12-23 |
| 1447352406 | Kristen Marie Sutherland | Nurse Practitioner | 4483 Weymouth Rd, Medina, OH 44256-8601 | 2006-09-01 |
| 1881687127 | Jill E Klotzbach | Nurse Practitioner | 11075 W Center Street Ext, Medina, NY 14103-9557 | 2005-08-23 |
| Find all providers in MEDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.