Healthcare Provider Details

I. General information

NPI: 1720974736
Provider Name (Legal Business Name): MR. ARTHUR LOUIS BRUNSON JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

10900 TOWN CIR APT 212
WELLINGTON FL
33414-6533
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-5511
  • Fax: 561-835-3387
Mailing address:
  • Phone: 478-320-0362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number0117011523
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: