Individual
GAVIN BRUNSVOLD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2868 ACTON RD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8373
Mailing address
2868 ACTON RD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23452
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51509728
BCBS
AL
01
—
51510560
BCBS
AL
Enumeration date
05/24/2006
Last updated
07/08/2007
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