Individual provider Active NPI

John C Brunson Jr., MD

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1952379893
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME81841 Issued in FL
Practice address
603 7TH St S Ste 500
St Petersburg, FL 33701-4734
Phone
(727) 553-7810
Fax
(727) 553-7811
NPI assigned
Mar 8, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME81841 FL
Diagnostic Radiology Physician 2085R0202X 210353 NY
Diagnostic Radiology Physician 2085R0202X ME81841 FL Primary

Addresses

Primary practice location

603 7TH St S Ste 500
St Petersburg, FL 33701-4734

Mailing address

603 7TH St S Ste 500
St Petersburg, FL 33701-4734
Phone (727) 553-7810

Other practice location 1

33-57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, DC, FL, PA, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20040913001066 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9234106956 Reassigns benefits to 1 organization
I20080311000227 MD Practitioner - Interventional Radiology 9234106956 Reassigns benefits to 1 organization
I20081210000619 DC Practitioner - Diagnostic Radiology 9234106956 Reassigns benefits to 1 organization
I20181129001943 FL Practitioner - Diagnostic Radiology 9234106956 Reassigns benefits to 14 organizations
I20200609001219 PA Practitioner - Diagnostic Radiology 9234106956 Reassigns benefits to 1 organization
I20240326003908 TX Practitioner - Diagnostic Radiology 9234106956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Hill Imaging LLCGroup PAC ID 3072568310, 6 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

12037 Cortez Blvd
Brooksville, FL 34613-7349
Phone (352) 597-9008

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2020 59TH St W
Bradenton, FL 34209-4604
Phone (800) 437-2672

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

603 7TH St S
Suite 500
St Petersburg, FL 33701-4734
Phone (727) 893-6254

8732 Fernwicke CT
Orlando, FL 32819-3830
Phone (888) 742-7927

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81841FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 18, 2022 Accepting new patients
Howard University Diagnostic Radiology CurrentSince Aug 24, 2016 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Jan 11, 2025 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Jan 15, 2020 Accepting new patients
Regional Health Services Inc CurrentSince Jun 17, 2020 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Advanced Imaging Concepts PL Diagnostic Radiology CurrentSince Jun 4, 2025 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Nov 25, 2025 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Nov 25, 2025 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Simed Health LLC CurrentSince Sep 1, 2024 Accepting new patients
Spring Hill Imaging LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Simedhealth LLC CurrentSince Sep 1, 2024 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jul 26, 2024 Accepting new patients
Vesta Telemedicine Solutions, PC Neuroradiology CurrentSince Dec 12, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 15, 2017 Accepting new patients
Ultramobile Imaging Inc CurrentSince Aug 2, 2024 Accepting new patients
Franklin County Board of County Commissioners CurrentSince Apr 25, 2024 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology Current Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Neuroradiology CurrentSince Jun 15, 2017 Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology CurrentSince Nov 25, 2025 Accepting new patients
Vesta Telemedicine Solutions, PLLC Neuroradiology CurrentSince Dec 10, 2023 Accepting new patients
Bridgeway Diagnostic Radiology Diagnostic Radiology PastSince Jul 1, 2023 Accepting new patients
Dr David Angelillo Orthopaedic Surgery & Sports Medicine PC Past Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology PastSince Jun 6, 2021 Accepting new patients
Park Avenue Associates in Radiology PC Diagnostic Radiology PastSince Mar 16, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations (25 of 38)

450 Glass Ln
Ste C
Modesto, CA 95356

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

12037 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-9008

13470 Taft St
Brooksville, FL 34613
Phone (352) 597-0016

1203 SE 8th Ave
Cape Coral, FL 33990
Phone (239) 214-9003

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565

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

2740 SW Martin Downs Blvd
#264
Palm City, FL 34990
Phone (813) 332-2599

2100 Creighton Rd
Pensacola, FL 32504
Phone (850) 332-4414

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

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

3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860

3389 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 277-5462

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

603 7th St S
Ste 500
St Petersburg, FL 33701
Phone (727) 822-0442

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 32

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 32

Hospital & facility affiliations 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1952379893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-553-7810",
            "fax_number": "727-553-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-553-7810",
            "fax_number": "727-553-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33-57 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137902107",
            "country_code": "US",
            "telephone_number": "607-763-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME81841",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "210353",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME81841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.