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Brunda Revanna, MD

Primary Care Clinic/Center in Jacksonville, AL · enumerated 2006 · authorized official Brunda Revanna, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407943228

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Registry record

Entity type Organization (Type 2)
Legal business name Brunda Revanna, MD
Other name <Unavail>
Practice address 1465 A 1st Ave Sw Ste C, Jacksonville, AL, 36265
Enumeration date Oct 5, 2006
Last updated in NPPES Jun 24, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brunda Revanna
Title President

Other identifiers

Identifier Type State Issuer
009930945 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Brunda Revanna, MD?
The NPI for Brunda Revanna, MD is 1407943228, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Brunda Revanna, MD?
NPPES lists Brunda Revanna (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-24.