Active NPI
Diana M Brunson, LMT
- Massage Therapist
- Sumter, SC
National Provider Identifier
1982923249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS6459
- Practice address
- 712 Bultman Dr
Ste a
Sumter, SC 29150-2553 - Phone
- (803) 774-2639
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS6459 | SC | Primary |
Addresses
Primary practice location
712 Bultman Dr
Ste a
Sumter, SC 29150-2553
Mailing address
2630 Turningleaf LN
Dalzell, SC 29040
Phone (803) 499-6744
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 |
|---|---|---|---|
| MAS6459 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1982923249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 TURNINGLEAF LN",
"city": "DALZELL",
"state": "SC",
"postal_code": "29040",
"telephone_number": "803-499-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 BULTMAN DR",
"address_2": "STE A",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502553",
"telephone_number": "803-774-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSON",
"first_name": "DIANA",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "MAS6459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.