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Individual
LOUIS A BRUNSTING III
Active
Individual
LOUIS A BRUNSTING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
31578
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.096211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199333
BCBS
—
01
—
10071071
AMERIGROUP COMMUNITY CARE
TN
05
—
169226
—
AL
05
—
169836
—
AL
05
—
2087215
—
TN
05
—
3087817
—
TN
01
—
4047180
BCBS
TN
01
—
4609774
AETNA
—
01
—
511-57428
BCBS OF AL, 2375 CHAMPIONS BLVD, AUBURN
AL
01
—
511-57708
BCBS OF AL, 2000 PEPPERELL PKWY, OPELIKA
AL
01
—
6420160
MULTIPLAN
AL
01
—
64921315
KY MEDICAID
KY
01
—
7246414-010
CIGNA
—
01
—
P00010965
RAILROAD MEDICARE
TN
01
—
TN0102
AMERICHOICE
TN
Enumeration date
08/23/2005
Last updated
01/30/2019
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