| Adam Thomas Brunson, AG-CNS | |
|
113 Woodland Trl, Leander, TX 78641-9207 | |
| (512) 740-3280 | |
| (800) 905-8006 |
| Full Name | Adam Thomas Brunson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 113 Woodland Trl, Leander, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811456247 | NPI | - | NPPES |
| 1376575886 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0600X | Registered Nurse - Gerontology | 926072 (Texas) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | API42166 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Old Mission Wound Care Texas Pllc | 6002355583 | 2 |
| Entity Name | Austin Geriatric Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376575886 PECOS PAC ID: 5092770511 Enrollment ID: O20041124000120 |
| Entity Name | Old Mission Wound Care Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386484277 PECOS PAC ID: 6002355583 Enrollment ID: O20240828002418 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Thomas Brunson, AG-CNS 113 Woodland Trl, Leander, TX 78641-9207 Ph: (512) 740-3280 | Adam Thomas Brunson, AG-CNS 113 Woodland Trl, Leander, TX 78641-9207 Ph: (512) 740-3280 |
Diane Patricia Bonsall, MSN, APRN, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 15609 Ronald W Reagan Blvd Bldg B120, Leander, TX 78641 Phone: 512-379-3830 Fax: 512-379-3831 | |
Leannis Rojas Cedeno, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 188 Shawi Pass, Leander, TX 78641 Phone: 305-766-6301 |