Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlie ED Brunson Jr., MD

Individual provider Cardiovascular Disease Physician · NPI 1780639500

Charlie ED Brunson Jr., MD is a Cardiovascular Disease (Cardiology) in Ogden, Utah. Graduated from University of Mississippi School of Medicine in 1997, 29 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Colorado and Utah.

Years since qualifying
29
Trained at
University of Mississippi School of Medicine
Licensed in
CO, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4403 Harrison Blvd Ste 3490
Ogden, UT 84403-3284
Phone: (801) 387-2650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 7752036-1205 (UT)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 44477 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 7752036-1205 (UT)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 44477 (CO)

Record details

NPI number1780639500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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