Individual provider Active NPI

John Brunette, MD

  • Orthopaedic Surgery Physician
  • Cartersville, GA
National Provider Identifier
1508828138
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
037152 Issued in GA
Practice address
15 Medical Dr NE
Cartersville, GA 30121-8003
Phone
(770) 386-5221
NPI assigned
Apr 6, 2006
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 037152 GA Primary

Addresses

Primary practice location

15 Medical Dr NE
Cartersville, GA 30121-8003

Mailing address

15 Medical Dr NE
Cartersville, GA 30121-8003
Phone (770) 386-5221

Other identifiers 1

IdentifierTypeStateIssuer
00561041BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100916000782 GA Practitioner - Orthopedic Surgery 3577663194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hidden Valley Medical Center IncGroup PAC ID 5799768248, 18 clinicians

Practice addresses (Care Compare)

2855 Old Hwy 5 N
Suite 111
Blue Ridge, GA 30513-6239
Phone (706) 632-3711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
88.06
Promoting interoperability
100
Improvement activities
40
Cost
80.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037152GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Medical Center Inc CurrentSince Feb 6, 2023 Accepting new patients
Georgia Bone & Joint Surgeons, P.C. Current Accepting new patients
Hidden Valley Medical Center Inc CurrentSince Feb 6, 2023 Accepting new patients

Locations

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

2855 Old Highway 5
Ste 111
Blue Ridge, GA 30513
Phone (706) 632-0088

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4
  • Direct secure messaging: john.brunette.1@1563.direct.athenahealth.com

Organizations & group practices 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1508828138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218003",
            "telephone_number": "770-386-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218003",
            "telephone_number": "770-386-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "037152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00561041B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.