Active NPI
Jeffrey Allen Brunelli, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- ME122504
- Practice address
- 421 Kingsley Ave Ste 401
Orange Park, FL 32073-4898 - Phone
- (904) 661-2394
- Fax
- (904) 621-9105
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME122504 | FL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME122504 | FL | Primary |
Addresses
Primary practice location
421 Kingsley Ave Ste 401
Orange Park, FL 32073-4898
Mailing address
330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331
Other practice location 1
1821 Blanding Blvd Ste 2
Middleburg, FL 32068-3839
Phone (904) 579-4842
Other practice location 2
280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906
Other practice location 3
1811 Blanding Blvd Ste 102
Middleburg, FL 32068-4935
Phone (904) 661-2394
Other practice location 4
421 Kingsley Ave Ste 402
Orange Park, FL 32073-4898
Phone (904) 661-2394
Other practice location 5
8262 Point Meadows Dr
Jacksonville, FL 32256-4701
Phone (904) 265-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Louisville School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1811 Blanding Blvd
Suite 102
Middleburg, FL 32068-4935
Phone (904) 661-2394
1821 Blanding Blvd
Suite 1
Middleburg, FL 32068-3839
Phone (904) 406-3160
1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083
280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906
421 Kingsley Ave
Orange Park, FL 32073-4898
463380 State Rd
Yulee, FL 32097-3240
Phone (904) 468-3080
916 Kingsbay Rd
Saint Marys, GA 31558-3745
Phone (912) 576-3802
PO Box
Melrose, FL 32666-1099
Hospital & facility affiliations
- Enhabit Home Health
- Ascension St Vincent'S Clay County
- Baptist Health Medical Center - Jacksonville
- HCA Florida Orange Park Hospital
- Brooks Rehabilitation Hospital University Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 37 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 12 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME122504 | FL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Multi-Specialty | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Multi-Specialty | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Multi-Specialty | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Physicians Group Services PA | Multi-Specialty | Current | Accepting new patients |
| Physicians Group Services PA | Multi-Specialty | Current | Accepting new patients |
| Physicians Group Services PA | Multi-Specialty | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
8262 Point Meadows Dr
Jacksonville, FL 32256
Phone (904) 265-4320
1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083
8262 Point Meadows Dr
Ste 202
Jacksonville, FL 32256
Phone (904) 217-5810
280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906
1821 Blanding Blvd
Ste 2
Middleburg, FL 32068
Phone (904) 264-0400
1811 Blanding Blvd
Ste 102
Middleburg, FL 32068
Phone (904) 456-0017
1821 Blanding Blvd
Ste 1
Middleburg, FL 32068
Phone (904) 406-3160
705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
421 Kingsley Ave
Ste 400
Orange Park, FL 32073
Phone (904) 204-5000
421 Kingsley Ave
Ste 402
Orange Park, FL 32073
Phone (904) 215-8727
421 Kingsley Ave
Ste 401
Orange Park, FL 32073
Phone (904) 264-9388
463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080
Interoperability endpoints
- jeffrey.brunelli.1@25110.direct.athenahealth.com
Organizations & group practices 9
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
- Orange Park, FL
- NPI 1861440810
Multi-Specialty
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Multi-Specialty
-
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- Rehabilitation Clinic/Center
- Saint Marys, GA
- NPI 1851661045
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1700522299
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1679733943
Multi-Specialty
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1245285303
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1861657348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CORPORATE WAY STE 200",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320736214",
"telephone_number": "904-282-6331",
"fax_number": "904-866-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 KINGSLEY AVE STE 401",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734898",
"telephone_number": "904-661-2394",
"fax_number": "904-621-9105"
}
],
"practiceLocations": [
{
"address_1": "1821 Blanding Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Middleburg",
"state": "FL",
"postal_code": "320683839",
"country_code": "US",
"telephone_number": "904-579-4842",
"fax_number": "904-212-9891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 Dundas Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322185517",
"country_code": "US",
"telephone_number": "904-751-4906",
"fax_number": "904-714-3574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 Blanding Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Middleburg",
"state": "FL",
"postal_code": "320684935",
"country_code": "US",
"telephone_number": "904-661-2394",
"fax_number": "904-621-9105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Kingsley Ave Ste 402",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734898",
"country_code": "US",
"telephone_number": "904-661-2394",
"fax_number": "904-621-9105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8262 Point Meadows Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322564701",
"country_code": "US",
"telephone_number": "904-265-4320",
"fax_number": "904-265-4319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNELLI",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME122504",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME122504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.