Brun & Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRUN & ASSOCIATES, PLLC

Practice address

10818 Mallard Creek Road
Suite 104
Charlotte, NC 28262

Phone

(704) 697-1190

Fax

(704) 697-1191

NPI assigned

Jan 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andre Georges Brun, DMDNPI 1558491605

Title

Owner

Phone

(704) 697-1190

Specialties & licenses 1

Addresses

Other names 1

• LandMark Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andre Georges Brun, DMD

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1558491605

  General Practice

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1023657244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 MALLARD CREEK ROAD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-697-1190",
            "fax_number": "704-697-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 MALLARD CREEK ROAD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-697-1190",
            "fax_number": "704-697-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUN & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-11-08",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "BRUN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-697-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LandMark Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Jane Bruce, MSPA, PA-C
• Kevin E. Brueilly, PT, PHD
• James Robert Brugger, OTR/L
• Ashley Kristen Brumble, PHARMD
• Delaney Lee Brummer, PA
• Andre Georges Brun, DMD
• John Paul Brunelle, PH.D.
• Joseph Robert Bruner
• Randel Albert Bruney, MD
• Beth Brunner

• All providers in Charlotte, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.