Active NPI
David G Brust, MD
- Clinical Pathology Physician
- Galveston, TX
National Provider Identifier
1376582668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- S1778
- Practice address
- 301 University Blvd
Galveston, TX 77555-0001 - Phone
- (409) 772-2222
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | S1778 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0001
Mailing address
Wake Forest Baptist Medical Ctr
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1778 | TX | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Emergency Associates | Emergency Medicine | Past | Accepting new patients |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Van Meter MD & Associates | Past | Accepting new patients | |
| Wfubmccp Primary Care, LLC | Past | Accepting new patients | |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Georgia Emergency Associates | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- dbrust44339@direct.utmb.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1275563942
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Primary Care Clinic/Center
- Mocksville, NC
- NPI 1407007131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1376582668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WAKE FOREST BAPTIST MEDICAL CTR",
"address_2": "MEDICAL CENTER BOULEVARD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550001",
"telephone_number": "409-772-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUST",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "TX",
"license": "S1778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.