Jack Wade Brunson in Greer - Family Medicine

Jack Wade Brunson - NPI 1316918253

Jack Wade Brunson is a Family Medicine in Greer, South Carolina. Jack Wade Brunson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Wade Brunson is 1316918253. The last update date is 2020-12-08.

Jack Wade Brunson's current location address is 398 The Pkwy, Greer, South Carolina. You can contact this provider via phone number 8648779577 and fax number 8648779073. The mailing address for Jack Wade Brunson is 398 The Pkwy, Greer, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Wade Brunson
Address 398 The Pkwy, Greer, South Carolina
Phone Number 8648779577
Fax Number 8648779073
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316918253
Provider Enumeration Date 2006-01-30
Last Updated Date 2020-12-08

Provider Mailing Address Detail

Address 398 The Pkwy
City Greer
State South Carolina (SC)
Post Code 296504569
Phone Number 8648779577
Fax Number 8648779073

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 10099
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SCI6605019 SC MEDICARE PIN
100991 SC --
SCI6606067 SC MEDICARE PIN

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FAQs about Jack Wade Brunson

What is the unique 10-digit identification code assigned to Jack Wade Brunson by the Centers for Medicare & Medicaid Services?

The Jack Wade Brunson has been issued the NPI (National Provider Identifier) 1316918253, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jack Wade Brunson's facilities are situated?

The facilities of Jack Wade Brunson are physically located at the following address: 398 The Pkwy, Greer, SC, 296504569.

What is Jack Wade Brunson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jack Wade Brunson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1316918253 to Jack Wade Brunson?

The Centers for Medicare & Medicaid Services originally issued the 1316918253 to Jack Wade Brunson on 2006-01-30.

When was the information related to Jack Wade Brunson most recently updated or refreshed?

The details pertaining to the Jack Wade Brunson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-08.

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