1. Home
  2. Directory
  3. Alabama
  4. Pelham
  5. General Practice
  6. NPI Profile

DR. MATT E BRUNSON M.D.
NPI 1053640763
General Practice in Pelham, AL

Active since December 09, 2009Opted out of Medicare · through May 2, 2028
2411 ROYAL LN, PELHAM, AL 35124(205) 908-8770(205) 733-9269 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matt E Brunson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATT E BRUNSON M.D. (NPI 1053640763) is an individual general practice provider in Pelham, Alabama, licensed in Alabama (11237) and active in the NPI registry since December 2009. He has opted out of Medicare through May 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053640763
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MATT E BRUNSONCredential: M.D.
Location Address2411 ROYAL LNPelham, AL 35124-2622
Mailing Address2411 Royal LnPelham, AL 35124-2622 · (205) 908-8770 · Fax (205) 733-9269
Phone(205) 908-8770
Fax(205) 733-9269
Sole ProprietorYes
Enumeration DateDecember 9, 2009
✔ NPI 1053640763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AL · 11237
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2411 ROYAL LN, Pelham, AL 35124
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Eldred Mattatha Brunson M.d.

Other Identifiers 1

Medicare UPINC69983AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matt E Brunson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2016 through May 2, 2028.

Opt-Out Effective DateMay 2, 2016
Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt Brunson's NPI number?

The NPI number for Matt Brunson is 1053640763. It was assigned to this individual provider in the NPPES registry on December 9, 2009. The provider is also known as Dr. Eldred Mattatha Brunson M.D..

Where is Matt Brunson located?

Matt Brunson practices at 2411 Royal Ln, Pelham, AL 35124. The listed phone number is (205) 908-8770.

What is Matt Brunson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Matt Brunson enrolled in Medicare?

No. Matt Brunson has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Matt Brunson was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.