Visage Integrative Medicine, LLC
NPI 1497345003ActiveOrganization· Nurse Practitioner, Family· San Angelo, TX
Nurse Practitioner, Family in San Angelo, Texas, registered in NPPES in January 2021. The authorized official on file is Susann Brundrett, MD, Owner/Provider.
Overview
| NPI | 1497345003 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2021 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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