Individual
CHARLIE ED BRUNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44477
CO
207RC0000X
Cardiovascular Disease Physician
7752036-1205
UT
207RI0011X
Interventional Cardiology Physician
44477
CO
207RI0011X
Interventional Cardiology Physician
Primary
7752036-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18603271
—
CO
01
—
44477
STATE LICENSE
CO
Enumeration date
05/23/2006
Last updated
08/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up