MR. JAMES GLEN BRUNSON (NPI# 1760764047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760764047 |
| Entity Type | Individual |
| Full Name | MR. JAMES GLEN BRUNSON |
| Practice Address |
800 Dollins St Wilburton OK 74578-3204 |
| Practice Telephone | 9184485497 |
| Mailing Telephone | 9184485497 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801383617 | James Wadell Brunson Jr. | Counselor | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-04-17 |
| 1689642514 | James H Brunson Jr. | Family Medicine | 1170 Boulevard St, Orangeburg, SC 29115-4359 | 2006-03-08 |
| Street Address |
800 DOLLINS ST |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| Find all providers in zip 74578 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225394125 | Patricia Annette Raney | Psychologist | 2484 Sw Cravens Rd, Wilburton, OK 74578-6834 | 2012-04-04 |
| 1497035356 | Theresa L Mccarn | Psychologist | 311 W Main St, Wilburton, OK 74578-4047 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982006789 | Jeffrey Johns | Psychologist | 8763 N 97th East Ave Apt 207, Owasso, OK 74055-6864 | 2014-09-23 |
| 1659771996 | Jessica Pendergraft | Psychologist | 615 Amy Dr, Waukomis, OK 73773-1033 | 2014-08-22 |
| 1205249349 | Qiana Hawthorne | Psychologist | 104 Winter Wheat Dr, Guthrie, OK 73044-7750 | 2014-06-06 |
| 1962815902 | Robbin Vanwinkle | Psychologist | 1200 Prairie Heights Dr, Bartlesville, OK 74006-7800 | 2014-06-06 |
| 1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
| 1306256847 | Jonelle Freeman | Psychologist | 336 E Beech Ave, Enid, OK 73701-1702 | 2014-05-06 |
| 1114337664 | Katelyn James | Psychologist | 2020 Willow Run Ste 100, Enid, OK 73703-1421 | 2014-05-06 |
| 1043638760 | Jana Darnall | Psychologist | 405 N Neshoba St, Tishomingo, OK 73460-1247 | 2014-03-31 |
| 1114344223 | Jordan Harvey | Psychologist | 174 Daniels St, Healdton, OK 73438-1417 | 2014-03-26 |
| 1528489937 | Malerie Guilbeau | Psychologist | 1009 N Birch Ave, Sand Springs, OK 74063-8901 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.