DR. ROBERT L BRUNSTON JR. (NPI# 1265420467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265420467 |
Entity Type | Individual |
Full Name | DR. ROBERT L BRUNSTON JR. |
Credential | M.D. |
Practice Address |
1720a Medical Park Dr Suite 180 Biloxi MS 39532-2129 |
Practice Telephone | 2283961735 |
Practice Fax Number | 2283961737 |
Mailing Telephone | 2283961735 |
Mailing Fax Number | 2283961737 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2014-08-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 17394 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00124776 | 05 |
Street Address |
1720A MEDICAL PARK DR SUITE 180 |
City | BILOXI |
State | MS |
Zip Code | 39532-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689678674 | Jack W Brand Jr. | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2005-06-08 |
1407304801 | Rachael Hines | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-09-14 |
1144776386 | Alisha Farrish | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-08-28 |
1942691415 | Gai Truong | Pharmacist | 1720a Medical Park Dr, Suite 160, Biloxi, MS 39532-2129 | 2015-02-05 |
1679961270 | Duc Vinh Nguyen | Nurse Practitioner | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2015-01-05 |
1891119715 | Deborah Thompson-spencer | Nurse Practitioner | 1720a Medical Park Dr, Biloxi, MS 39532-2129 | 2014-02-12 |
1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
1215225636 | Aesthetic Surgery Center Ltd | Plastic Surgery | 1720a Medical Park Dr, Suite 140, Biloxi, MS 39532-2129 | 2011-07-19 |
1598067340 | Jan Van Truong | Chiropractor | 1720a Medical Park Dr, 160b, Biloxi, MS 39532-2129 | 2010-11-30 |
1558693192 | Hebe Diaz M.d. Pllc | Clinic/Center | 1720a Medical Park Dr, Suite 130c, Biloxi, MS 39532-2129 | 2010-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
Find all providers in zip 39532 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184036279 | Hope Burkett | Surgery | 147 Reynoir Street 201, Biloxi, MS 39530-9020 | 2014-05-23 |
1518228741 | William J. Berglind | Surgery | 301 Fisher Street, Kafb, Biloxi, MS 39534 | 2012-06-05 |
1245436815 | Luis Michael Diaz | Surgery | 970 Tommy Munro Dr Ste B, Biloxi, MS 39532-2130 | 2007-06-21 |
1598776627 | South Mississippi Surgeons | Surgery | 147 Reynoir St Ste 201, Biloxi, MS 39530-4121 | 2006-08-11 |
1982691531 | Michael Brian Hogan | Surgery | 147 Reynoir St Ste 205, Biloxi, MS 39530-4121 | 2005-09-29 |
1396165593 | Jordan Carl | Surgery | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-27 |
1477816007 | Robert R Gerard | Surgery | 301 Fisher St, Biloxi, MS 39534-2508 | 2012-06-19 |
1366725848 | Kenneth Simon | Surgery | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2011-09-21 |
1215133830 | Joshua A Tyler | Surgery | 147 Reynoir St Ste 200, Biloxi, MS 39530-4121 | 2007-06-21 |
1750497806 | Charlie Brooks Williams Jr. | Surgery | 400 Veterans Ave, Dept of Surgery (112), Biloxi, MS 39531-2410 | 2006-08-22 |
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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.