Clinton Ray Brunson, MD PA
NPI 1730695214ActiveOrganization· Radiology, Diagnostic Radiology· Longview, TX
Radiology, Diagnostic Radiology in Longview, Texas, registered in NPPES in December 2017. The authorized official on file is Clinton Ray Brunson, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730695214 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2017 |
| Last updated in NPPES | Dec 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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