Active NPI
Christopher Brunson, CAP 5938
- Addiction (Substance Use Disorder) Counselor
- Jacksonville, FL
National Provider Identifier
1508280512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5938
- Practice address
- 6900 Southpoint Dr N
North Florida/South Georgia VA Specialty Clinic
Jacksonville, FL 32216-8007 - Phone
- (904) 470-6900
- Fax
- (904) 739-0170
- NPI assigned
- Feb 11, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5938 | FL | Primary |
Addresses
Primary practice location
6900 Southpoint Dr N
North Florida/South Georgia VA Specialty Clinic
Jacksonville, FL 32216-8007
Mailing address
6900 Southpoint Dr N
North Florida/South Georgia VA Specialty Clinic
Jacksonville, FL 32216-8007
Phone (904) 470-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAP 5938 | Other | FL | CERTIFIED ADDICTIONS PROFESSIONAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5938 | FL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Industries Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1508280512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 SOUTHPOINT DR N",
"address_2": "NORTH FLORIDA/SOUTH GEORGIA VA SPECIALTY CLINIC",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168007",
"telephone_number": "904-470-6900",
"fax_number": "904-739-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 SOUTHPOINT DR N",
"address_2": "NORTH FLORIDA/SOUTH GEORGIA VA SPECIALTY CLINIC",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168007",
"telephone_number": "904-470-6900",
"fax_number": "904-739-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSON",
"first_name": "CHRISTOPHER",
"credential": "CAP 5938",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "5938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ADDICTIONS PROFESSIONAL",
"identifier": "CAP 5938",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.