Individual
DR. TOM B. BRUMITT
Active
Individual
DR. TOM B. BRUMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R3D61
MO
2085R0204X
Vascular & Interventional Radiology Physician
R3D61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-114381
IL BLUE CROSS BLUE SHIELD
IL
01
—
063896
HEALTH ALLIANCE
—
01
—
182747
HEALTHLINK
—
01
—
185214
MO BLUE CROSS BLUE SHIELD
MO
05
—
207296807
—
MO
01
—
430954380CAP
MERCY HEALTH PLAN
—
Enumeration date
07/31/2006
Last updated
04/29/2021
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