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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLIE ED BRUNSON JR., MD

Active

CHARLIE ED BRUNSON JR., MD is a Hospice and Palliative Medicine healthcare provider located in OGDEN, Utah. NPI 1780639500 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · OGDEN, UT

Registration Details

NPI Number
1780639500
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (20.260473444375 yrs)
Last Updated
Aug 17, 2022
Licenses
44477 (CO)
7752036-1205 (UT)
44477 (CO)
7752036-1205 (UT)

Practice Information

Address
4403 HARRISON BLVD STE 3490
OGDEN, UT, 844033284
Browse UT providers · Browse ZIP 84403
Phone
8013872650
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in OGDEN, UT

Name Credential NPI
TAREQ S HARB MD 1407851488
MICHAEL J DIEHL MD 1265427371
MICHAEL E CRAWFORD MD 1699760397
KONSTANTYN Y. SZWAJKUN M.D. 1508849191
DR. SANJEEV TREHAN M.D. 1750335907
DR. YURI KHODAKOV MD 1700099983
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.