Samuel Paul Brunson
NPI 1477164655ActiveIndividual· Dentist· Fort Campbell, KY
Dentist in Fort Campbell, Kentucky, licensed in SC, with an NPI issued in August 2020. Part D covered 34 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1477164655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Aug 12, 2020 |
| Certified by provider | Aug 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 9639 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 34 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $84.12 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Fort Campbell
- 1861043499
- 1255013991
- 1063492130
- 1538775937
- 1124856554
- 1245210202
- 1205682473
- 1598280935
- 1952082927
- 1891530663
- 1922088863
- 1295168094