GARY BRUNSON (NPI# 1386064053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386064053 |
| Entity Type | Individual |
| Full Name | GARY BRUNSON |
| Credential | RN |
| Practice Address |
300 Hospital Rd Fort Gordon GA 30905 |
| Mailing Address |
300 Hospital Road Fort Gordon GA 30905 |
| Practice Telephone | 7067871266 |
| Mailing Telephone | 7064955790 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN165014 | GA | Nursing Service Providers |
| Street Address |
300 HOSPITAL RD |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366879470 | Vassie Beatrice Wade | Technician, Other | 300 Hospital Rd, Fort Gordon, GA 30905 | 2013-10-03 |
| 1790126209 | David Louis Anderson | Family Medicine | 300 Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-07-12 |
| 1952654014 | Kenneth Alan Teuton | Pharmacist | 300 Hospital Rd, Interdisciplinary Pain Management Center, Fort Gordon, GA 30905-5741 | 2012-10-25 |
| 1346527561 | Ashley Nichole Davis | Counselor | 300 Hospital Rd, Fort Gordon, GA 30905 | 2011-11-16 |
| 1467769471 | Melissa S Gautreaux | Counselor | 300 Hospital Rd, Fort Gordon, GA 30905-5650 | 2010-09-13 |
| 1124291463 | Peter Shellabarger | Registered Nurse | 300 Hospital Rd, Fort Gordon, GA 30905 | 2008-04-08 |
| 1841461027 | Robert Douglas Rice | Surgery | 300 Hospital Rd, Dept. General Surgery, Fort Gordon, GA 30905 | 2008-03-17 |
| 1982713806 | Gary W Berg | Internal Medicine | 300 Hospital Rd, Bldg 40709, Fort Gordon, GA 30905-5650 | 2006-08-30 |
| 1710925805 | Lillian E Perez | Family Medicine | 300 Hospital Rd, Meb Section, Fort Gordon, GA 30905-5650 | 2006-06-02 |
| 1861469488 | Amy Dietz | Nurse Practitioner | 300 Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905-5650 | 2006-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761908 | Elizabeth Michelle Sylvester | Registered Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2016-06-21 |
| 1538581590 | Jacqueline D Plummer | Registered Nurse | 300 E Hospital Road, Ddeamc, Family Practice Clinic, 2nd Floor, Fort Gordon, GA 30905-5650 | 2014-01-10 |
| 1801218862 | Latonya Collins | Registered Nurse | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2014-01-10 |
| 1992886220 | Kimberly Ann Oatman | Registered Nurse | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082119 | Jacqueline Roseann Bushell | Registered Nurse | 1245 Riverloch Way, Lawrenceville, GA 30043-4488 | 2020-10-27 |
| 1326665167 | Terri L Watkins | Registered Nurse | 2102 Cobblestone Blvd, Stockbridge, GA 30281-7328 | 2020-06-27 |
| 1376172528 | Kelli Tesler | Registered Nurse | 5505 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1749 | 2020-04-08 |
| 1902435381 | Shaundra Renee Foree | Registered Nurse | 1730 Silver Way, Lithia Springs, GA 30122-3956 | 2020-04-07 |
| 1932735149 | Bhanmattie Anupa Motee | Registered Nurse | 1712 Castle Ct, Riverdale, GA 30296-2946 | 2020-03-19 |
| 1568097723 | Peace At Last Private Home Care LLC. | Registered Nurse | 5596 Mayfair Crossing Dr, Lithonia, GA 30038-1182 | 2020-03-09 |
| 1649812298 | Princess Mary Ibekwe-onwueme | Registered Nurse | 4875 China Berry Dr, Powder Springs, GA 30127-5661 | 2019-10-15 |
| 1184288730 | Allyson Blue | Registered Nurse | 7870 Waterlace Dr, Fairburn, GA 30213-4647 | 2019-04-30 |
| 1093270852 | Ivy R Harper | Registered Nurse | 3017 Katherine Valley Rd, Decatur, GA 30032-5826 | 2019-02-06 |
| 1699242990 | Ericka Francis | Registered Nurse | 2636 Martin Luther King Jr Dr Sw Ste 12&22, Atlanta, GA 30311-1634 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.