MICHAEL JOHN BRUNELL (PA-C) – Physician Assistant, NPI 1407154552

MICHAEL JOHN BRUNELL (PA-C) is a healthcare provider. based in Milford, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA6950 (MA). The NPI Number for MICHAEL JOHN BRUNELL (PA-C) is 1407154552

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHN BRUNELL (PA-C)
NPI
1407154552
Phone
(508) 425-5050
Address
101 CEDAR ST
Enumeration Date
14 March 2011
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085952300
Graduation Year
2010 (16 years ago)
PAC ID
4688842123
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20191106002041
Address ID
MA016062714WO5XXXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MICHAEL JOHN BRUNELL (PA-C)

  • 101 CEDAR ST

    MILFORD, MA 017571101

    Phone: (508) 425-5050

    Fax: (508) 556-6155

    Type: Location

  • 36 BRIDGE WAY

    PASCOAG, RI 028593131

    Phone: (401) 568-7661

    Fax: (401) 567-0900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-11-06

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
I20191106002041IPhysician AssistantMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes128116$0
99214Established patient office or other outpatient visit, 30-39 minutes9286$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2020$0
36415Insertion of needle into vein for collection of blood sample1313$0
99443Telephone medical discussion with physician, 21-30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 01757)

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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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Can I verify MICHAEL JOHN BRUNELL (PA-C) with an NPI only?
You can start verification with NPI 1407154552 for MICHAEL JOHN BRUNELL (PA-C), then check state licensing separately.
Can I rely on MICHAEL JOHN BRUNELL (PA-C) being an active provider?
As of the registry snapshot, MICHAEL JOHN BRUNELL (PA-C) is marked active.
What is MICHAEL JOHN BRUNELL (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MICHAEL JOHN BRUNELL (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MICHAEL JOHN BRUNELL (PA-C) list a practice location?
Patients near Milford, Massachusetts may find MICHAEL JOHN BRUNELL (PA-C) in results; validate coverage separately.
Why does MICHAEL JOHN BRUNELL (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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