| Dr Robert L Brunston Jr, MD | |
|
1720a Medical Park Dr, Suite 180, Biloxi, MS 39532-2129 | |
| (228) 396-1735 | |
| (228) 396-1737 |
| Full Name | Dr Robert L Brunston Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 1720a Medical Park Dr, Biloxi, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265420467 | NPI | - | NPPES |
| 00124776 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 17394 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta Regional Medical Center | Greenville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Medical Group | 6608775531 | 42 |
| South Sunflower County Hospital | 6709771637 | 14 |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
| Entity Name | South Sunflower County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200331000813 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert L Brunston Jr, MD 1720a Medical Park Dr, Suite 180, Biloxi, MS 39532-2129 Ph: (228) 396-1735 | Dr Robert L Brunston Jr, MD 1720a Medical Park Dr, Suite 180, Biloxi, MS 39532-2129 Ph: (228) 396-1735 |
Chungeun Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-2273 | |
Mark Belknap, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Dr. Belknap 112, Biloxi, MS 39531 Phone: 903-926-2071 | |
Dr. Joshua A Tyler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 147 Reynoir St Ste 200, Biloxi, MS 39530 Phone: 228-436-1273 Fax: 228-435-3211 | |
Luis Michael Diaz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 970 Tommy Munro Dr Ste B, Biloxi, MS 39532 Phone: 228-396-2663 Fax: 228-396-2664 | |
Dr. Kenneth Simon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 | |
Dr. Raul G Betancourt-perez, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-5571 |