DR. JACK WADE BRUNSON JR. (NPI# 1316918253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316918253 |
| Entity Type | Individual |
| Full Name | DR. JACK WADE BRUNSON JR. |
| Credential | M.D. |
| Practice Address |
398 The Pkwy Greer SC 29650-4569 |
| Mailing Address |
Po Box 2168 Spartanburg SC 29304-2168 |
| Practice Telephone | 8648779577 |
| Practice Fax Number | 8648779073 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10099 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 100991 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174950661 | Jack Michael Brunson | Physician Assistant | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2013-09-30 |
| Street Address |
398 THE PKWY |
| City | GREER |
| State | SC |
| Zip Code | 29650-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104897891 | David Lee Hudson | Family Medicine | 398 The Pkwy, Greer, SC 29650-4569 | 2006-01-30 |
| 1386902286 | Michael Lloyd Peters | Family Medicine | 398 The Pkwy, Mountain View Family Medicine, Greer, SC 29650-4569 | 2012-04-27 |
| 1376814673 | St. Francis Physician Services Inc | Family Medicine | 398 The Pkwy, Greer, SC 29650-4569 | 2012-01-18 |
| 1912200973 | Mountain View Family Medicine, LLC | Family Medicine | 398 The Pkwy, Greer, SC 29650-4569 | 2010-12-14 |
| 1821102575 | Lee Saindon | Family Medicine | 398 The Pkwy, Greer, SC 29650-4569 | 2006-08-19 |
| 1639181662 | Maria Del Pilar Frisch | Family Medicine | 398 The Pkwy, Greer, SC 29650-4569 | 2006-08-11 |
| 1235100017 | Oonagh Nechodom | Nurse Practitioner | 398 The Pkwy, Greer, SC 29650-4569 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1689296881 | Nathanael Zack Heard | Family Medicine | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-11 |
| 1801339064 | Michael Charles Tobin | Family Medicine | 221 Watkins Farm Dr, Greer, SC 29651-7539 | 2016-11-21 |
| 1265878268 | Ernestina Nyarko French | Family Medicine | 426 Memorial Drive Ext, Greer, SC 29651-1818 | 2013-05-16 |
| 1104079599 | Upstate Medical Care, P.a. | Family Medicine | 1530 S Highway 14, Greer, SC 29650-4620 | 2008-10-29 |
| 1205083029 | Howard Wayne Pearlman | Family Medicine | 101 Brushy Meadows Dr, Greer, SC 29650-1025 | 2008-08-22 |
| 1063696094 | Gil-young Chae | Family Medicine | 10 Cork Dr, Greer, SC 29650-0973 | 2007-12-27 |
| 1730245101 | Doctors Family Medicine | Family Medicine | 322 Memorial Dr, Greer, SC 29650-1521 | 2006-12-29 |
| 1538225206 | Benjamin Andrew Hester | Family Medicine | 3115d Brushy Creek Rd, Greer, SC 29650-0903 | 2006-12-28 |
| 1689773004 | Jimmie Harold Carpenter | Family Medicine | 101 Bennington Way, Greer, SC 29650-4009 | 2006-09-22 |
| Find all providers in GREER | ||||
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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.