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JOHNATHAN ANTONIO BRUNSON LCAS-A
NPI 1124477658
Counselor - Addiction (Substance Use Disorder) in Wilson, NC

Active since June 06, 2016
3011 NC HIGHWAY 42 W, SUITE G, WILSON, NC 27893(252) 991-3985(252) 991-3993 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2020, Aug 7, 2018 (2 updates tracked since 2018).

About Johnathan Antonio Brunson Lcas-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNATHAN ANTONIO BRUNSON LCAS-A (NPI 1124477658) is an individual addiction (substance use disorder) provider in Wilson, North Carolina and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1124477658
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHNATHAN ANTONIO BRUNSONCredential: LCAS-A
Location Address3011 NC HIGHWAY 42 W, SUITE GWilson, NC 27893
Mailing Address307 Beech StGoldsboro, NC 27530-2818 · (919) 731-2119 · Fax (919) 739-4989
Phone(252) 991-3985
Fax(252) 991-3993
Sole ProprietorNo
Enumeration DateJune 6, 2016
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1124477658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3011 NC HIGHWAY 42 W, Wilson, NC 27893
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED PHYSICAL THERAPY OF WILSON
Clinic/Center (Physical Therapy)
3011 NC HIGHWAY 42 W
WILSON, NC 27893
Wilson County (919) 300-5040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathan Brunson's NPI number?

The NPI number for Johnathan Brunson is 1124477658. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Johnathan Brunson located?

Johnathan Brunson practices at 3011 Nc Highway 42 W Suite G, Wilson, NC 27893. The listed phone number is (252) 991-3985.

What is Johnathan Brunson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Johnathan Brunson was last updated on August 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.