Individual provider Active NPI

Jeffrey Allen Brunelli, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Orange Park, FL
National Provider Identifier
1861657348
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME122504 Issued in FL
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
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME122504 FL
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223001550 FL Practitioner - Orthopedic Surgery 4284805979 Reassigns benefits to 2 organizations

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
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement37
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

LicenseStateTypeSpecialty
ME122504FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Multi-Specialty Current Accepting new patients
University of Florida Jacksonville Physicians Inc Multi-Specialty CurrentSince Feb 2, 2015 Accepting new patients
Physicians Group Services PA Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Physicians Group Services PA Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 2, 2015 Accepting new patients
Physicians Group Services PA Multi-Specialty Current Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

8262 Point Meadows Dr
Jacksonville, FL 32256
Phone (904) 265-4320

8262 Point Meadows Dr
Ste 202
Jacksonville, FL 32256
Phone (904) 217-5810

1811 Blanding Blvd
Ste 102
Middleburg, FL 32068
Phone (904) 456-0017

1821 Blanding Blvd
Ste 1
Middleburg, FL 32068
Phone (904) 406-3160

1821 Blanding Blvd
Ste 2
Middleburg, FL 32068
Phone (904) 264-0400

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 401
Orange Park, FL 32073
Phone (904) 264-9388

421 Kingsley Ave
Ste 402
Orange Park, FL 32073
Phone (904) 215-8727

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 621-0671

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

Interoperability endpoints

  • Direct secure messaging: jeffrey.brunelli.1@25110.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "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

Verify at the official NPI Registry.