DAVID G BRUNCK (PAC) – Physician Assistant, NPI 1730141789

DAVID G BRUNCK (PAC) is a healthcare provider. based in New albany, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 10000682A (IN). The NPI Number for DAVID G BRUNCK (PAC) is 1730141789

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DAVID G BRUNCK (PAC)
NPI
1730141789
Phone
(812) 542-1901
Address
3897 CHARLESTOWN RD
Enumeration Date
5 April 2006
Last Update Date
19 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129414500
Graduation Year
1999 (27 years ago)
PAC ID
4284614348
Group Practice PAC ID
9830093533
Professional Enrollment ID
I20040721000466
Address ID
IN471508548NE4101XAVEX300

Contacts

Secure Messaging
david.brunckpac.p63@direct.ahni.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

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Provider Addresses for DAVID G BRUNCK (PAC)

  • Charlestown Road, Blackiston Mill, New Albany, Floyd County, Indiana, 47150, United States

    NEW ALBANY, IN 471509562

    Phone: (812) 542-1901

    Fax: (812) 542-1904

    Type: Mailing

  • 4101 TECHNOLOGY AVE

    NEW ALBANY, IN 471508548

    Phone: (812) 941-4500

    Fax: (812) 542-1904

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Exact Sciences Corporation ($61).

Total Amount

$94

General + Research + Ownership

Payments

5

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040721000466IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg11,945113$0
99213Established patient office or other outpatient visit, 20-29 minutes430382$0
99214Established patient office or other outpatient visit, 30-39 minutes168157$0
96372Injection of drug or substance under skin or into muscle144123$0
81003Automated urinalysis test109103$0
View full utilization report →

Insurance plans in this area (ZIP 47150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830093533View full group profile
NameSpecialtyState
Nurse PractitionerIN
-KY
H E M A T O L O G Y/ O N C O L O G YNM
-IN
Nurse PractitionerIN
Nurse PractitionerIN
-IN
-IN
-IN
N E U R O L O G YIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID G BRUNCK (PAC)?
DAVID G BRUNCK (PAC) — NPI 1730141789 — is the standard way to identify this listing.
Does the file indicate DAVID G BRUNCK (PAC) is practicing under active NPI?
Directory data currently reports DAVID G BRUNCK (PAC) as active.
What taxonomy line describes DAVID G BRUNCK (PAC)?
For research purposes, treat DAVID G BRUNCK (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID G BRUNCK (PAC) on a map?
Expect New Albany, Indiana as a primary anchor for DAVID G BRUNCK (PAC) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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