Individual provider Active NPI

Alan John Brunelli, DDS

  • General Practice Dentistry
  • Big Spring, TX
National Provider Identifier
1407907314
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16038 Issued in TX
Practice address
1500 Scurry St
Big Spring, TX 79720-4441
Phone
(432) 267-1677
Fax
(432) 267-7840
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16038 TX Primary

Addresses

Primary practice location

1500 Scurry St
Big Spring, TX 79720-4441

Mailing address

1500 Scurry St
Big Spring, TX 79720-4441
Phone (432) 267-1677

Other identifiers 1

IdentifierTypeStateIssuer
D16038OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16038TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ward Family Dental, PC CurrentSince Jun 3, 2025 Accepting new patients

Locations

1500 Scurry St
Big Spring, TX 79720
Phone (432) 267-1677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1407907314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SCURRY ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204441",
            "telephone_number": "432-267-1677",
            "fax_number": "432-267-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SCURRY ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204441",
            "telephone_number": "432-267-1677",
            "fax_number": "432-267-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLI",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D16038",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.