DETRIUS LASHAUNDA BRUNSON NP
NPI 1821811746
Nurse Practitioner - Acute Care in Fayetteville, NC
About Detrius Lashaunda Brunson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DETRIUS LASHAUNDA BRUNSON NP (NPI 1821811746) is an individual acute care provider in Fayetteville, North Carolina, licensed in North Carolina (5021159) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Detrius Lashaunda Brunson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Detrius Brunson's NPI number?
The NPI number for Detrius Brunson is 1821811746. It was assigned to this individual provider in the NPPES registry on November 7, 2024.
Where is Detrius Brunson located?
Detrius Brunson practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-4000.
What is Detrius Brunson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Detrius Brunson enrolled in Medicare?
Yes. Detrius Brunson is registered in the Medicare PECOS enrollment system.
What insurance does Detrius Brunson accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Detrius Brunson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Detrius Brunson was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Detrius Lashaunda Brunson, NP · NPI 1821811746
Acute Care physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since November 7, 2024.
## Identity
- **NPI:** 1821811746 (Entity type: Individual)
- **Enumerated:** November 7, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 5021159 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1638 OWEN DR, Fayetteville, NC 28304-3424
- **Phone:** (910) 615-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821811746) · Data from the CMS NPPES public registry.