Active NPI
Joel Roy Brunt, M.D.
- Nephrology Physician
- Pascagoula, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 09811
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117494 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- 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
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
- Singing River Health System
- Singing River Gulfport
- George Regional Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS09811 | MS | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Nephrology Associates of Mobile, P.a. | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1023770625
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pascagoula, MS
- NPI 1538120902
Dialysis facility
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.