# LOUIS A BRUNSTING III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356334692
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 31578 | AL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35.096211 | OH | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 01/30/2019

## 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 |