Individual provider Active NPI

Gregory Thomas Brunet, PA-C

  • Surgical Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1013060128
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA15590 Issued in CA
Practice address
936 Camino del Retiro
Santa Barbara, CA 93110-1005
Phone
(805) 681-5095
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA15590 CA Primary

Addresses

Primary practice location

936 Camino del Retiro
Santa Barbara, CA 93110-1005

Mailing address

936 Camino del Retiro
Santa Barbara, CA 93110-1005
Phone (805) 681-5095

Other identifiers 1

IdentifierTypeStateIssuer
PA15590OtherCACA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124001087 CA Practitioner - Physician Assistant 0547210981 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara Orthopedic Associates, IncGroup PAC ID 5092766238, 4 clinicians
William R. Gallivan, Jr., M.D., Inc.Group PAC ID 8527380161, 4 clinicians

Practice addresses (Care Compare)

2324 Bath St
FL 2
Santa Barbara, CA 93105-4330
Phone (805) 682-7801

2324 Bath St 2ND Floor
Santa Barbara Orthopedic Asso
Santa Barbara, CA 93105-4330

320 W Junipero St
Santa Barbara, CA 93105-4305
Phone (805) 220-6020

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15590CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince May 16, 2010 Accepting new patients
Osf Medical Group of California, Inc PastSince Sep 30, 2012 Accepting new patients

Locations

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

334 S Patterson Ave
Ste 130
Santa Barbara, CA 93111
Phone (805) 681-1490

Interoperability endpoints

  • Direct secure messaging: gregory.brunet@377085076373508.direct.elationemr.com
  • Direct secure messaging: gregory.brunet@594445084917764.direct.elationemr.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013060128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CAMINO DEL RETIRO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101005",
            "telephone_number": "805-681-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CAMINO DEL RETIRO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101005",
            "telephone_number": "805-681-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNET",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "PA15590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.