Charlie Ed Brunson Jr, MD in Ogden, UT - Medicare Cardiovascular Disease (cardiology)

Charlie Ed Brunson Jr, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Ogden, Utah. He went to University Of Mississippi School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4403 Harrison Blvd Ste 3490, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-2650.

Charlie Ed Brunson Jr is licensed to practice in Utah (license number 7752036-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780639500.

Contact Information

	Charlie Ed Brunson Jr, MD
	4403 Harrison Blvd Ste 3490, Ogden, UT 84403-3284
	(801) 387-2650
	Not Available

Map and Direction

Physician's Profile

Full Name	Charlie Ed Brunson Jr
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	27 Years
Location	4403 Harrison Blvd Ste 3490, Ogden, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlie Ed Brunson Jr attended and graduated from University Of Mississippi School Of Medicine in 1997

NPI Data:

NPI Number: 1780639500
Provider Enumeration Date: 05/23/2006
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 3779563655
Enrollment ID: I20110608000015

Medical Identifiers

Medical identifiers for Charlie Ed Brunson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780639500	NPI	-	NPPES
44477	Other	CO	STATE LICENSE
18603271	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	44477 (Colorado)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	7752036-1205 (Utah)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	44477 (Colorado)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	7752036-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckay Dee Hospital	Ogden, UT	Hospital
Layton Hospital	Layton, UT	Hospital
Logan Regional Hospital	Logan, UT	Hospital
Bear River Valley Hospital	Tremonton, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charlie Ed Brunson Jr allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlie Ed Brunson Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charlie Ed Brunson Jr, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-2650	Charlie Ed Brunson Jr, MD 4403 Harrison Blvd Ste 3490, Ogden, UT 84403-3284 Ph: (801) 387-2650

Reviews and Comments

Internal Medicine Doctors in Ogden, UT

Mikhail Shipotko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800
Ewa Gniado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Jaclyn Nguyen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900
Dr. Timothy Trask, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654
Gregory T Almony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642
Brian W Pugh, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614
Dr. Jack D Wahlen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910

Charlie Ed Brunson Jr, MD - Medicare Cardiovascular Disease (cardiology) in Ogden, UT