Provider Demographics
NPI:1245525831
Name:BRUST, ADAM K (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:K
Last Name:BRUST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PSC BOX 8023, BLDG 4389
Mailing Address - Street 2:WWAR - NAVAL HEALTH CLINIC CHERRY POINT
Mailing Address - City:CHERRY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28533-0266
Mailing Address - Country:US
Mailing Address - Phone:252-466-0266
Mailing Address - Fax:
Practice Address - Street 1:PSC BOX 8023, BLDG 4389
Practice Address - Street 2:WWAR - NAVAL HEALTH CLINIC CHERRY POINT
Practice Address - City:CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533-0266
Practice Address - Country:US
Practice Address - Phone:252-466-0266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101252344208D00000X
AL49898207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice