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SCOT ALAN BRUNNER MD
NPI 1083318133
Family Medicine in Ukiah, CA

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment
1165 S DORA ST STE C, UKIAH, CA 95482(707) 468-1015 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Mar 30, 2023 (2 updates tracked since 2023).

About Scot Alan Brunner Md NPPES

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

SCOT ALAN BRUNNER MD (NPI 1083318133) is an individual family medicine provider in Ukiah, California, licensed in California (A200831) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ukiah, and is a graduate of Mercer University School Of Medicine (2023).

NPPES Registry Identity

NPI1083318133
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOT ALAN BRUNNERCredential: MD
Location Address1165 S DORA ST STE CUkiah, CA 95482-8325
Mailing Address236 Hospital Dr Ste BUkiah, CA 95482-4561
Phone(707) 468-1015
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2023
Enumeration DateMarch 30, 2023
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1083318133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A200831
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1165 S DORA ST STE C, Ukiah, CA 95482
Open in Google Maps ↗

Secondary Practice Location 1

Location 1260 Hospital Dr Ste 103Ukiah, CA 95482-4568 · Phone (707) 467-5225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scot Alan Brunner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921440587
PECOS Enrollment IDI20260505001255
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1165 S DORA ST STE C
UKIAH, CA 95482
Mendocino County (707) 468-1010

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 Scot Brunner's NPI number?

The NPI number for Scot Brunner is 1083318133. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Scot Brunner located?

Scot Brunner practices at 1165 S Dora St Ste C, Ukiah, CA 95482. The listed phone number is (707) 468-1015.

What is Scot Brunner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scot Brunner enrolled in Medicare?

Yes. Scot Brunner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Scot Brunner was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.