Provider Demographics
NPI:1295887198
Name:BREWER AND BRUNSON, D.M.D., P.C.
Entity type:Organization
Organization Name:BREWER AND BRUNSON, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:P
Authorized Official - Last Name:BRUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-543-9572
Mailing Address - Street 1:311 S 5TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-4254
Mailing Address - Country:US
Mailing Address - Phone:256-543-9572
Mailing Address - Fax:
Practice Address - Street 1:311 S 5TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4254
Practice Address - Country:US
Practice Address - Phone:256-543-9572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL52951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty