Robert L Brunston Jr.
GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE LLC


Address: 15190 Community Rd, Suite 250, Gulfport, MS 39503-3483
Phone: 2285390489

Robert L Brunston Jr. (NPI# 1265420467, PAC ID# 9335190677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1265420467
PAC ID by PECOS 9335190677
Professional Enrollment ID I20050203000873
Full Name Robert L Brunston Jr.
Organization Legal Name GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE LLC
Address 15190 Community Rd
Suite 250
Gulfport
MS 39503-3483
Phone Number 2285390489
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF GEORGIA
Graduation Year 1993
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 8729183249
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250123 GARDEN PARK MEDICAL CENTER

Other Locations

Address Phone Organization
15190 Community Rd, Suite 250, Gulfport, MS 39503-3483 2285390489 GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE LLC

Organization Information

Organization Legal Name GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE LLC
Physicians 1

Office Location

Street Address 15190 COMMUNITY RD
SUITE 250
City GULFPORT
State MS
Zip 39503-3483

Physicians in the same location

Name Specialty Organization Address
Julie A Klester Certified Registered Nurse Anesthetist (crna) Gulfport Anesthesia Services Pa 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483
John D Smith Iii Nurse Practitioner Mississippi Orthopaedic Institute 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484
Elaine Frates Zinger Certified Registered Nurse Anesthetist (crna) Gulfport Anesthesia Services Pa 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483
Donald A Balder General Surgery 15190 Community Rd, Suite 210, Gulfport, MS 39503-3483
Boyd P Benefield Internal Medicine Memorial Hospital At Gulfport 15190 Community Rd, Suite 240, Gulfport, MS 39503-3483
Charles M Lobrano Anesthesiology Gulfport Anesthesia Services Pa 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483
Millicent E Holliman Physical Therapy Encore Rehabilitation Inc 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484
Stephanie M Damitio Certified Registered Nurse Anesthetist (crna) Gulfport Anesthesia Services Pa 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483
Nicole Scairono Merrill Qualified Audiologist Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc 15190 Community Rd, Suite 100, Gulfport, MS 39503-3484
Amy E Benefield Certified Registered Nurse Anesthetist (crna) Gulfport Anesthesia Services Pa 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483
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Physicians in the same zip code

Name Specialty Organization Address
Jonathan Dwaine Brown Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Clarence Ray Quave Jr. Physical Therapy Encore Rehabilitation Inc 15476 B Dedeaux Rd, Gulfport, MS 39503-2637
Cherryl D Purvis Nurse Practitioner Heart Hypertension Cholesterol and Diabetes Care LLC 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Joseph M Frame Physical Therapy 15444 Dedeaux Rd A, Gulfport, MS 39503-2637
Ricky D Roach Podiatry 15476 Dedeaux Rd, Gulfport, MS 39503-2637
Henry T Leis Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Ophelia Abrahams Occupational Therapy Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Jason Lowery Physician Assistant Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Eric Jason Graham Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Nicole Lynn Johnson Nurse Practitioner Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
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Competitor

Search similar physicians

City GULFPORT
Zip Code 39503
Specialty GENERAL SURGERY
City + Specialty GULFPORT + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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