CLINTON RAY BRUNSON, MD PA
NPI 1730695214
Radiology - Diagnostic Radiology in Longview, TX
About Clinton Ray Brunson, Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINTON RAY BRUNSON, MD PA (NPI 1730695214) is a healthcare organization registered as a diagnostic radiology in Longview, Texas and active in the NPI registry since December 2017. The organization lists Clinton Ray Brunson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinton Ray Brunson, Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinton Ray Brunson, MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinton Ray Brunson, MD PA's NPI number?
The NPI number for Clinton Ray Brunson, MD PA is 1730695214. It was assigned to this organization in the NPPES registry on December 20, 2017.
Where is Clinton Ray Brunson, MD PA located?
Clinton Ray Brunson, MD PA is located at 3206 4th St, Longview, TX 75605. The listed phone number is (903) 663-4800.
What is Clinton Ray Brunson, MD PA's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Clinton Ray Brunson, MD PA enrolled in Medicare?
Yes. Clinton Ray Brunson, MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinton Ray Brunson, MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Clinton Ray Brunson, MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clinton Ray Brunson, MD PA was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Clinton Ray Brunson, Md Pa · NPI 1730695214
Diagnostic Radiology organization in Longview, Texas. Organization record, active in the CMS NPPES registry since December 20, 2017.
## Identity
- **NPI:** 1730695214 (Entity type: Organization)
- **Enumerated:** December 20, 2017
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Clinton Brunson, PRESIDENT
## Practice location
- **Address:** 3206 4TH ST, Longview, TX 75605-5143
- **Phone:** (903) 663-4800 · **Fax:** (903) 663-7394
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1730695214) · Data from the CMS NPPES public registry.