Dr. Michael Ryan Brunson
Pediatrician Adolescent Medicine
4102 Pinion Drive, 10th Medical Group
Usaf Academy
, Colorado 80840-2502
Dr. Michael Ryan Brunson
Pediatrician Adolescent Medicine
4102 Pinion Drive, 10th Medical Group
Usaf Academy
, Colorado 80840-2502
(719) 333-3717
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Ryan Brunson
- 4102 Pinion Drive, 10th Medical Group
- Usaf Academy, CO
- Zip : 80840-2502
- Phone : (719) 333-3717
Second Address
- Dr. Michael Ryan Brunson
- 4102 Pinion Drive, 10th Medical Group
- Usaf Academy, CO
- Zip : 80840-2502
- Phone : (719) 333-3717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 26095 | NE |
| Y | 2080A0000X | Adolescent Medicine | 26095 | NE |
National Provider Identifier
| NPI | 1114160215 |
|---|---|
| Provider Name | Dr. Michael Ryan Brunson |
| First Address | Usaf Academy, CO 80840-2502 |
| Second Address | Usaf Academy, CO 80840-2502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2009 |
| Last Update Date | 14/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.