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VISAGE INTEGRATIVE MEDICINE, LLC
NPI 1497345003
Nurse Practitioner - Family in San Angelo, TX

Active since January 19, 2021
3144 EXECUTIVE DR, SAN ANGELO, TX 76904(325) 617-4594(324) 617-4593 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Visage Integrative Medicine, Llc NPPES

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

VISAGE INTEGRATIVE MEDICINE, LLC (NPI 1497345003) is a healthcare organization registered as a family in San Angelo, Texas and active in the NPI registry since January 2021. The organization lists Susann Brundrett, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1497345003
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVISAGE INTEGRATIVE MEDICINE, LLC
Location Address3144 EXECUTIVE DRSan Angelo, TX 76904-6802
Mailing Address3144 Executive DrSan Angelo, TX 76904-6802 · (325) 617-4594 · Fax (324) 617-4593
Phone(325) 617-4594
Fax(324) 617-4593
Organization SubpartNo
Authorized OfficialSusann BrundrettOwner/provider · (325) 234-2181
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1497345003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3144 EXECUTIVE DR, San Angelo, TX 76904
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SUE R BRUNDRETT NP-C
Nurse Practitioner (Family)
3144 EXECUTIVE DR
SAN ANGELO, TX 76904
Tom Green County (325) 617-4594
DR. WILLIAM FRANK BARTOSH DDS
Dentist (General Practice)
3144 EXECUTIVE DR
SAN ANGELO, TX 76904
Tom Green County (325) 949-8581

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 Visage Integrative Medicine, LLC's NPI number?

The NPI number for Visage Integrative Medicine, LLC is 1497345003. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Visage Integrative Medicine, LLC located?

Visage Integrative Medicine, LLC is located at 3144 Executive Dr, San Angelo, TX 76904. The listed phone number is (325) 617-4594.

What is Visage Integrative Medicine, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Visage Integrative Medicine, LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.