Joel Brunson (NPI# 1043519705, PAC ID# 1557546223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043519705 |
| PAC ID by PECOS | 1557546223 |
| Professional Enrollment ID | I20110421000766 |
| Full Name | Joel Brunson |
| Organization Legal Name | MEDINA FAMILY MEDICAL CLINIC, PC |
| Address |
209 Grace Cove Medina TN 38355-8785 |
| Phone Number | 7317830400 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931161726 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| 440060 | MILAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 209 Grace Cove, Medina, TN 38355-8785 | 7317830400 | MEDINA FAMILY MEDICAL CLINIC, PC |
| Organization Legal Name | MEDINA FAMILY MEDICAL CLINIC, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Little | Physician Assistant | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
| Mechelle T Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
| Darren R Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
| Street Address |
209 GRACE COVE |
| City | MEDINA |
| State | TN |
| Zip | 38355-8785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Little | Physician Assistant | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
| Mechelle T Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
| Darren R Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ellen Mcfarland | Clinical Social Worker | 315 Short Leaf Dr, Medina, TN 38355-6920 | |
| Holly Monroe Wright | Dermatology | 148 Us Hwy 45 E, Medina, TN 38355-8644 | |
| Heather Ann Martin | Chiropractic | Medina Family Chiropractic LLC | 611 Hwy 45 Byp S, Medina, TN 38355-9629 |
| Angela Hobbs | Chiropractic | Medina Family Chiropractic LLC | 611 Hwy 45 Byp S, Medina, TN 38355-9629 |
| Howell Scott Holmes | Physical Therapy | 206 N Main St, Medina, TN 38355-9765 |
| City | MEDINA |
| Zip Code | 38355 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEDINA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joel Brunson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.