Active NPI
Luca Brunelli, MD
- Neonatal-Perinatal Medicine Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MED-PHYS-LIC-149855
- Practice address
- 915 Highland Blvd
Bozeman, MT 59715-6902 - Phone
- (406) 414-5000
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29550 | NE | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MED-PHYS-LIC-149855 | MT | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | L8290 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 68789661205 | UT | |
| Pediatrics Physician | 208000000X | L8290 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 46249 | OK |
Addresses
Primary practice location
915 Highland Blvd
Bozeman, MT 59715-6902
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Other practice location 1
Emile 42nd St
Omaha, NE 68198-0001
Phone (402) 955-8125
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164227401 | Medicaid | TX | |
| 8J5408 | Other | TX | BCBS |
| 164227401 | Other | TX | CSHCN |
| 164227402 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbrunelli44932@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080815000189 | UT | Practitioner - Pediatric Medicine | 3577552389 | Reassigns benefits to 1 organization |
| I20250207003435 | MT | Practitioner - Pediatric Medicine | 3577552389 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-149855 | MT | MD | Neonatal-Perinatal Medicine Physician |
| 46249 | OK | MD | Neonatal-Perinatal Medicine Physician |
| L8290 | TX | MD | Neonatal-Perinatal Medicine Physician |
| 68789661205 | UT | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| University of Utah Pediatric Acuity Care | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| University of Utah Pediatric Acuity Care | Pediatrics | Current | Accepting new patients |
| Bozeman Health Deaconess Hospital | Family Medicine | Current | Accepting new patients |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Belgrade Clinic PLLP | Family Medicine | Current | Accepting new patients |
| University of Utah Pediatric Acuity Care | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Past | Accepting new patients |
Locations
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
Interoperability endpoints
- lbrunelli44932@direct.med.utah.edu
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
Family Medicine, MT
-
- Pediatric Critical Care Medicine Physician
- Salt Lake City, UT
- NPI 1619325131
Pediatrics, UT
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
-
- Emergency Medicine Physician
- Bozeman, MT
- NPI 1437529112
-
- Neonatal-Perinatal Medicine Physician
- Salt Lake City, UT
- NPI 1770947814
Neonatal-Perinatal Medicine
-
- Pediatric Hospice and Palliative Medicine Physician
- Salt Lake City, UT
- NPI 1851898365
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1104295864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1790726412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5000"
}
],
"practiceLocations": [
{
"address_1": "Emile 42nd St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681980001",
"country_code": "US",
"telephone_number": "402-955-8125",
"fax_number": "402-955-8140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNELLI",
"first_name": "LUCA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "29550",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-149855",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "L8290",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "UT",
"license": "68789661205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L8290",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "46249",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164227401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8J5408",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "164227401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164227402",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbrunelli44932@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.