Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OTIS HENDON BRUNSON IV, MD
ActiveOTIS HENDON BRUNSON IV, MD is a Medical Oncology healthcare provider located in JACKSON, Mississippi. NPI 1356838783 is currently active in the NPPES registry. Verify at CMS.
Medical Oncology · JACKSON, MS
Registration Details
- NPI Number
- 1356838783
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2018 (8.3409236267078 yrs)
- Last Updated
- May 5, 2025
- Licenses
-
28981 (MS)28981 (MS)
Practice Information
- Address
-
2500 N STATE STJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019845604
- Fax
- 6019846665
- Primary Specialty
-
Medical Oncology
207RX0202X
- Additional Specialty
- Medical Oncology
Other Medical Oncology Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| VAN L LACKEY | M.D. | 1740284389 |
| TAMMY H YOUNG | M.D. | 1013911668 |
| MANUBHAI S PATEL | M.D. | 1487659850 |
| DR. JAMES TATE THIGPEN | MD | 1710921895 |
| DR. ROBERT D. HAMILTON | MD | 1154367837 |
| DR. LOUIS V PUNEKY | MD | 1619913928 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.