David C Brunelle, MD

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

MD00032102 Issued in WA

Practice address

2901 Bridgeport Way W
University Place, WA 98466-4614

Phone

(253) 534-7000

Fax

(253) 534-7099

NPI assigned

Jul 18, 2006

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbrunelle702163@fhsce.catholichealth.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CP Seattle Wa Hospice, LLC

  dba Providence at Home with Compassus Hospice Care, Puget Sound

  • Community Based Hospice Care Agency
  • Tukwila, WA
  • NPI 1174345193

  Contracted Managing Employee

  CMS ownership

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.

• CP Seattle Wa Hospice, LLC

  dba Providence at Home with Compassus Palliative Care, Puget Sound

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tukwila, WA
  • NPI 1528861432
  Medicare reassignment NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• CP Seattle Wa Hospice, LLC

  dba Providence at Home with Compassus Hospice Care, Puget Sound

  • Community Based Hospice Care Agency
  • Tukwila, WA
  • NPI 1174345193

  Hospice and Palliative Medicine

  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba MultiCare Behavioral Health

  • Community/Behavioral Health Agency
  • Auburn, WA
  • NPI 1861872178
  NPD
• Providence Health & Services - Washington

  dba Providence Hospice of Seattle

  • Community Based Hospice Care Agency
  • Seattle, WA
  • NPI 1689827321
  NPD
• Commonspirit Washington

  dba St Joseph Hospital Psychiatric Professional Services

  • Psychiatric Hospital Unit
  • Tacoma, WA
  • NPI 1497978100
  NPD (past)
• Commonspirit Washington

  dba Palliative Medical Services

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1972538312
  NPD (past)
• Franciscan Health System

  dba Wound, Ostomy & Continence Clinic

  • Clinic/Center
  • Tacoma, WA
  • NPI 1225251937
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1710906011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-534-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-534-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-403-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00032102",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD00032102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017114",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrunelle702163@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "CommonSpirit Washington",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 Bridgeport Way W",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984664614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Kriston Brown, PHD
• Kevin Darrow Brown, LICSW
• Krista Kay Brown, MSW
• Danielle Broxholm
• Bruce Wilson Threapy Services, PLLC
• Brynn Cenicola Counseling Professional Services Inc
• Abrianna Buck, LMHC
• Julia Budniak, RD
• Conner Budrick
• Fernando Buitron Hernandez

• Hospice and Palliative Medicine (Internal Medicine) Physician in University Place, WA
• Providers in University Place, WA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.