Individual provider Active NPI

Philip Marc Brunetti, MD

  • Ophthalmology Physician
  • Fairbanks, AK
National Provider Identifier
1124522636
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
185835 Issued in AK
Practice address
2054 30TH Ave
Fairbanks, AK 99701-7316
Phone
(907) 759-7440
NPI assigned
Mar 20, 2018
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 185835 AK Primary

Addresses

Primary practice location

2054 30TH Ave
Fairbanks, AK 99701-7316

Mailing address

2054 30TH Ave
Fairbanks, AK 99701-7316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722002899 AK Practitioner - Ophthalmology 8123409083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartlett Regional HospitalGroup PAC ID 1759469174, 25 clinicians

Practice addresses (Care Compare)

3268 Hospital Dr
Suite a
Juneau, AK 99801-7800
Phone (907) 796-8713

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
88.73
Promoting interoperability
100
Improvement activities
40
Cost
77.08

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
185835AKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. Ophthalmology CurrentSince Sep 6, 2022 Accepting new patients
Bartlett Regional Hospital CurrentSince Nov 18, 2024 Accepting new patients
Sight Partners Physicians, P.C. Ophthalmology Current Accepting new patients
Sight Partners Physicians PC CurrentSince Sep 6, 2022 Accepting new patients
Alpine Dermatology, LLC Past Accepting new patients

Locations

2555 Phillips Field Rd
Fairbanks, AK 99709
Phone (907) 328-2920

3225 Hospital Dr
Unit 101A
Juneau, AK 99801
Phone (907) 523-5411

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700

Interoperability endpoints

  • Direct secure messaging: pbrunetti@nwes.intellechartdirect.net

Organizations & group practices 6

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

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1124522636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017316",
            "telephone_number": "907-759-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTI",
        "first_name": "PHILIP",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "185835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.