CRYSTAL BRUNSON (NPI# 1417473778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417473778 |
| Entity Type | Individual |
| Full Name | CRYSTAL BRUNSON |
| Practice Address |
3980 Colonnade Pkwy Birmingham AL 35243 |
| Mailing Address |
3980 Colonnade Pkwy Birmingham AL 35243-2382 |
| Practice Telephone | 2055105000 |
| Mailing Telephone | 2055105000 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06170574 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 354 Shiloh Lane, Talladega, AL 35160 | (205) 354-5278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861840886 | Crystal Brunson | Specialist/Technologist | 9615 Fabia Ct, Houston, TX 77044-1571 | 2016-05-31 |
| Street Address |
3980 COLONNADE PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278011 | David Alan Cox | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2005-07-11 |
| 1184268641 | Tonja Deann Hagamaker | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2019-10-28 |
| 1568944726 | Ann Burton Elliott | Physician Assistant | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2018-09-04 |
| 1013420116 | Emily Loyd Buckner | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2017-11-10 |
| 1083123343 | Frances Sheffield | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2017-09-29 |
| 1528581568 | Lauren Ridgeway | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2017-07-21 |
| 1366816068 | Bw Cardiology, LLC | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2015-11-18 |
| 1659741429 | Kelly Coleman Statham | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2015-10-05 |
| 1245612415 | Michele Clemons Watkins | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2015-06-24 |
| 1588921704 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
| 1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
| 1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
| 1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
| 1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
Please comment or provide details below to improve the information on CRYSTAL BRUNSON.
| 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.