SCOTT D BRUNK (MD) – Emergency Medicine Physician, NPI 1497759062

SCOTT D BRUNK (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 27576 (WI). The NPI Number for SCOTT D BRUNK (MD) is 1497759062

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT D BRUNK (MD)
NPI
1497759062
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
10 June 2005
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087837300
Graduation Year
1985 (41 years ago)
PAC ID
8426182106
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20100817000723
Address ID
WI546015429LA1836XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,297 EMERGENCY MEDICINE in WI

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Provider Addresses for SCOTT D BRUNK (MD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Mailing address matches the actual address.

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: 2024-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20100817000723IEmergency MedicineWITBD
I20201106000932IEmergency MedicineMDTBD
I20240307002526IEmergency MedicineMNTBD
I20240312003718IEmergency MedicineIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54601)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

Does SCOTT D BRUNK (MD) have a public NPI I can cite?
Public records show SCOTT D BRUNK (MD) under NPI 1497759062.
Is SCOTT D BRUNK (MD)'s NPI status active today?
Active status means SCOTT D BRUNK (MD)'s NPI record is not deactivated in the public file.
What type of care does SCOTT D BRUNK (MD) provide?
SCOTT D BRUNK (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SCOTT D BRUNK (MD)?
SCOTT D BRUNK (MD) shows a connection to La Crosse, Wisconsin in registry-derived data.
Why is information missing for SCOTT D BRUNK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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