Individual provider Active NPI

Brian Joseph Brune, M.D.

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
National Provider Identifier
1568639185
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0069041 Issued in MD
Practice address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone
(410) 535-4000
NPI assigned
May 13, 2008
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A103836 CA
Diagnostic Radiology Physician 2085R0202X D0069041 MD Primary
Vascular & Interventional Radiology Physician 2085R0204X D0069041 MD

Addresses

Primary practice location

100 Hospital Rd
Prince Frederick, MD 20678-4017

Mailing address

7253 Ambassador Rd
Baltimore, MD 21244-2710
Phone (443) 436-1116

Other practice location 1

130 Hospital Rd
Prince Frederick, MD 20678-4015
Phone (410) 298-0454

Other practice location 2

2120 Lakeland Hills Blvd
Lakeland, FL 33805-2906
Phone (863) 577-0303

Other practice location 3

10373A Reisterstown Road
Attn: Credentialing Department
Owings Mills, MD 21117-3617
Phone (443) 548-7595

Other practice location 4

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 674-3657

Other identifiers 1

IdentifierTypeStateIssuer
223205700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080709000282 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8325110257 Reassigns benefits to 4 organizations
I20110330000462 FL Practitioner - Diagnostic Radiology 8325110257 Reassigns benefits to 6 organizations
I20250619000548 AZ Practitioner - Diagnostic Radiology 8325110257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

Practice addresses (Care Compare)

15000 N 83Rd Ave
Unit 100
Peoria, AZ 85381-2001
Phone (480) 425-5000

31308 Kale Brooks CT
San Antonio, FL 33576-8223
Phone (844) 825-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103836CAMDDentist
A103836CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince Apr 1, 2025 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
White Memorial Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Apr 10, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Sep 23, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Apr 10, 2023 Accepting new patients
Hanford Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Adventist Health Delano CurrentSince Apr 1, 2025 Accepting new patients
Adventhealth West Florida Imaging, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Mar 3, 2025 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
Surgical Center of Central Florida, LLC PastSince Dec 15, 2019 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology Past Accepting new patients
Hanford Medical Associates, Inc. Past Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients
Radiology & Imaging Specialists Diagnostic Radiology PastSince Jan 5, 2025 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients
Capitol Medical Center LLC Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Health Diagnostics of California LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 37)

15000 N 83rd Ave
Unit 100
Peoria, AZ 85381

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7301 E 2nd St
Ste 112
Scottsdale, AZ 85251

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

9700 N 91st St
Ste C200
Scottsdale, AZ 85258
Phone (480) 240-9738

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

1503 W Oak St
Kissimmee, FL 34741
Phone (407) 847-8864

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2121 S Orange Ave
Orlando, FL 32806
Phone (407) 514-1870

83 Geneva Dr
Unit 622133
Oviedo, FL 32762
Phone (845) 309-5641

8300 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 577-6000

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 6

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1568639185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "443-436-1116",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784015",
            "country_code": "US",
            "telephone_number": "410-298-0454",
            "fax_number": "301-694-2606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052906",
            "country_code": "US",
            "telephone_number": "863-577-0303",
            "fax_number": "863-577-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10373A Reisterstown Road",
            "address_2": "Attn: Credentialing Department",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173617",
            "country_code": "US",
            "telephone_number": "443-548-7595",
            "fax_number": "410-356-4180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-674-3657",
            "fax_number": "760-773-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNE",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A103836",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0069041",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0069041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223205700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.