Individual provider Active NPI

Gavin Brunsvold, MD

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1861447815
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23452 Issued in AL
Practice address
2868 Acton Rd
Birmingham, AL 35243-2502
Phone
(205) 968-8360
Fax
(205) 968-8373
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23452 AL Primary

Addresses

Primary practice location

2868 Acton Rd
Birmingham, AL 35243-2502

Mailing address

2868 Acton Rd
Birmingham, AL 35243-2502
Phone (205) 968-8360

Other identifiers 2

IdentifierTypeStateIssuer
51509728OtherALBCBS
51510560OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20051121000500 AL Practitioner - Psychiatry 8224057195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23452ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Health Center Inc CurrentSince Oct 1, 2022 Accepting new patients
Christ Health Center Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

5804 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9450

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

Interoperability endpoints

  • Direct secure messaging: gavin.brunsvold.1@12373.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861447815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-968-8360",
            "fax_number": "205-968-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-968-8360",
            "fax_number": "205-968-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSVOLD",
        "first_name": "GAVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "23452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51509728",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51510560",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.