Individual
ALEXANDER J BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 E COMMERCE ST, LEWISBURG, TN 37091-3340
(615) 790-0567
(931) 422-2074
Mailing address
1113 MURFREESBORO RD, SUITE 319, FRANKLIN, TN 37064-1306
(615) 790-0567
(615) 595-8030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40245
TN
208000000X
Pediatrics Physician
Primary
40245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083121
BOARD CERTIFICATION #
TN
01
—
40245
MEDICAL LICENSE#
TN
05
—
5440828
—
TN
Enumeration date
08/18/2006
Last updated
06/06/2019
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