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

Otis Hendon Brunson IV, MD

Individual provider Hematology (Internal Medicine) Physician · NPI 1356838783

Otis Hendon Brunson IV, MD is a Hematology (Internal Medicine) Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
Specialties on file
2
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5604
Fax: (601) 984-6665
Show map & directions

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

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 28981 (MS)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence 28981 (MS)

Record details

NPI number1356838783
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

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