COLT BRUNSON (D.O.) – Anesthesiology Physician, NPI 1043574221

COLT BRUNSON (D.O.) is a healthcare provider. based in Salem, Utah. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 10259876-1204 (UT). The NPI Number for COLT BRUNSON (D.O.) is 1043574221

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
COLT BRUNSON (D.O.)
NPI
1043574221
Phone
(801) 735-3088
Address
1181 HARVEST RIDGE DR
Enumeration Date
2 July 2012
Last Update Date
20 December 2017

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8019939524
Graduation Year
2012 (14 years ago)
PAC ID
8022310564
Group Practice PAC ID
5991604829
Professional Enrollment ID
I20170531001228
Address ID
UT841216891SA1954XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

565 ANESTHESIOLOGY in UT

Provider Addresses for COLT BRUNSON (D.O.)

  • 1181 HARVEST RIDGE DR

    SALEM, UT 846535639

    Phone: (801) 735-3088

    Type: Mailing

  • 750 W 800 N

    OREM, UT 840573660

    Phone: (801) 714-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $10.

Total Amount is formed as General ($10) + Research ($0) + Ownership ($0) = $10.

Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($10).

Total Amount

$10

General + Research + Ownership

Payments

1

Total payment records

General Amount

$10

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$10
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: 2020-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170531001228IAnesthesiologyUTTBD
I20200403002278IAnesthesiologyAZTBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)4240$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1212$0
View full utilization report →

Insurance plans in this area (ZIP 84653)

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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: 5991604829View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
-UT
Certified Registered Nurse Anesthetist (Crna)UT
-UT
-UT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
-UT
Certified Registered Nurse Anesthetist (Crna)NE

Reviews

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Frequently asked questions

Where can patients find COLT BRUNSON (D.O.)'s NPI?
You can confirm COLT BRUNSON (D.O.) with NPI 1043574221; it appears in the national provider directory.
Is COLT BRUNSON (D.O.) active in the national directory?
COLT BRUNSON (D.O.)'s public NPI profile is in an active state.
Does COLT BRUNSON (D.O.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for COLT BRUNSON (D.O.). Clinical services aligned with this taxonomy classification.
Where is COLT BRUNSON (D.O.)'s primary listing?
We display Salem, Utah because that is what the record indicates for COLT BRUNSON (D.O.).
How can I contact COLT BRUNSON (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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