Lindsey Thompson Brunson

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

904419 Issued in MS

Practice address

4645 Nottingham Rd
Jackson, MS 39211

Phone

(601) 502-4890

NPI assigned

Jan 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pearls Children'S Clinic PLLC

  • Pediatrics Physician
  • Pearl, MS
  • NPI 1750901179
  NPD (past)

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1528659778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NOTTINGHAM RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NOTTINGHAM RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "601-502-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "LINDSEY",
        "middle_name": "THOMPSON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "904419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashanda Denise Brumfield, MPH, CHES, CTRS, PHD
• Chelsea Brunson, NP
• Claude D. Brunson, M.D.
• Dana Jae Smith Brunson, MD
• Dorothy Angela Brunson, M.S., CCC-SLP
• Otis Hendon Brunson IV, MD
• Neely Grace Brunt
• Valerie Brunt, NP
• Brad Young Bryan, D.M.D.
• Catherine Supple Bryant, PA-C

• Pediatrics Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.