Individual provider Active NPI

Joel Roy Brunt, M.D.

  • Nephrology Physician
  • Pascagoula, MS
National Provider Identifier
1689672156
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
09811 Issued in MS
Practice address
2725 Andrew Ave
Pascagoula, MS 39567-1815
Phone
(282) 762-0713
Fax
(287) 697-4842
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MS09811 MS
Nephrology Physician 207RN0300X 09811 MS Primary

Addresses

Primary practice location

2725 Andrew Ave
Pascagoula, MS 39567-1815

Mailing address

2712 Criswell Ave
Pascagoula, MS 39567-1143
Phone (228) 762-0713

Other identifiers 1

IdentifierTypeStateIssuer
00117494MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000292 MS Practitioner - NephrologyPractitioner - Internal Medicine 0648346957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians

Practice addresses (Care Compare)

12 Marks Rd
Ocean Springs, MS 39564-4350
Phone (251) 343-5004

2725 Andrew Ave
Pascagoula, MS 39567-1815
Phone (251) 343-5004

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111

4907 Telephone Rd
Pascagoula, MS 39567-1823
Phone (228) 762-0701

Hospital & facility affiliations

  • DaVita Singing River Dialysis Dialysis facility, Pascagoula, MS, CCN 252516
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MS09811MSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC CurrentSince Oct 17, 2021 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 21, 2021 Accepting new patients
Nephrology Associates of Mobile, P.a. CurrentSince Jan 1, 2024 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 21, 2021 Accepting new patients

Locations

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

919 Winter St
Lucedale, MS 39452
Phone (251) 410-8272

12 Marks Rd
Ocean Springs, MS 39564
Phone (228) 872-6329

2725 Andrew Ave
Pascagoula, MS 39567
Phone (228) 284-3880

2712 Criswell Ave
Pascagoula, MS 39567
Phone (228) 696-9690

Interoperability endpoints

  • Direct secure messaging: jbrunt58947@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1689672156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 CRISWELL AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671143",
            "telephone_number": "228-762-0713",
            "fax_number": "228-762-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 ANDREW AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671815",
            "telephone_number": "282-762-0713",
            "fax_number": "287-697-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNT",
        "first_name": "JOEL",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "MS09811",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "09811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117494",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.