MR. ROBERT L BRUN (NPI# 1134407398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134407398 |
| Entity Type | Individual |
| Full Name | MR. ROBERT L BRUN |
| Credential | PA |
| Practice Address |
102 Gregor Mendel Cir Greenwood SC 29646-2315 |
| Mailing Address |
13500 Chenal Pkwy Apt 304 Little Rock AR 72211-5371 |
| Practice Telephone | 8642292663 |
| Practice Fax Number | 8642295694 |
| Mailing Telephone | 2196705480 |
| Mailing Fax Number | 2198361014 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3473 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
102 GREGOR MENDEL CIR |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629003751 | Michael Josiah Maughon Jr. | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2006-07-11 |
| 1811340664 | Alan Baker | Nurse Practitioner | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2016-07-18 |
| 1952772253 | Self Medical Group | Durable Medical Equipment & Medical Supplies | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2015-10-13 |
| 1427455708 | Meredith H Stevenson | Physical Therapist | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2014-12-02 |
| 1235559790 | Mark Oliver | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2014-04-23 |
| 1336561182 | Kara Traynor | Physical Therapist | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2014-01-14 |
| 1013257229 | Genesis Sports & Rehabilitation Services, LLC | Physical Therapist | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2013-02-25 |
| 1952695181 | Casey Gunnells Velky | Physical Therapist | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2011-06-06 |
| 1710185723 | Lee Andrew Patterson | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2007-07-11 |
| 1962552406 | George J Manos | Occupational Therapist | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294306 | Pamela Hanley | Physician Assistant | 4953 Aquaduct Dr, Greenwood, IN 46142-7536 | 2020-08-07 |
| 1245868629 | Alexandra Diez Arguelles | Physician Assistant | 402 Vanhoy Dr, Greenwood, IN 46142-9064 | 2020-03-31 |
| 1740745900 | Megan Dewitt Carson | Physician Assistant | 313 Main St Ste A, Greenwood, SC 29646-2757 | 2019-02-01 |
| 1982119699 | Patrick Quinn Dooling | Physician Assistant | 555 E County Line Rd Ste 202, Greenwood, IN 46143-1063 | 2017-12-05 |
| 1083040455 | Megan Eliza Wheeler | Physician Assistant | 501 Epting Ave, Greenwood, SC 29646-4091 | 2013-09-17 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1902025109 | Richard David Shults | Physician Assistant | 1300 Innovation Pkwy, Greenwood, IN 46143-3625 | 2007-04-25 |
| 1699820530 | Erin Nikou | Physician Assistant | 700 Us 31 South, Greenwood, IN 46143-2401 | 2007-01-23 |
| 1437264900 | Scott A Brown | Physician Assistant | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
| 1467490276 | Penny R Streby | Physician Assistant | 105 Vinecrest Ct # 500, Greenwood, SC 29646-8031 | 2006-06-03 |
| Find all providers in GREENWOOD | ||||
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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.