Brunson, Michael Dean
Brunson, Michael Dean is an individual health care provider with primary practice located at 2240 Sutherland Ave Suite 103, Knoxville TN 37919-2333. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Brunson, Michael Dean can be contacted via phone (865) 588-8831.Contact Information
Primary practice address
2240 Sutherland Ave Suite 103
Knoxville TN 37919-2333
Phone: (865) 588-8831
Fax: (865) 588-8841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 27046 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27046 | Tennessee |
Profile Details
| NPI number | 1679500102 |
|---|---|
| LBN Legal business name | Brunson, Michael Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Apr 4th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679500102 | NPPES |
| Tennessee | Other | 290013994 | RR MEDICARE |
| Tennessee | MEDICAID | 3867691 | RR MEDICARE |
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