NPI 1134407398

Robert L Brun, PA

Practitioner Physician Assistant Greenwood, SC

Practice location

Address: 102 Gregor Mendel Cir, Greenwood, SC 29646-2315
Phone: (864) 229-2663
Fax: (864) 229-5694
Mailing address: 13500 Chenal Pkwy APT 304, Little Rock, AR 72211-5371

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3473 (SC)

Other Physician Assistant providers in South Carolina →

Registry record

NPI: 1134407398
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2011
Record last updated: 31 Jan 2020

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.