NPI 1053640763

Matt E Brunson, MD

Practitioner General Practice Physician Pelham, AL

Practice location

Address: 2411 Royal Ln, Pelham, AL 35124-2622
Phone: (205) 908-8770
Fax: (205) 733-9269

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 11237 (AL)

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Registry record

NPI: 1053640763
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2009
Record last updated: 9 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.