1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW BRUNER MD
NPI 1104486463
Internal Medicine - Interventional Cardiology in Salt Lake City, UT

Active since June 19, 2019PECOS Enrolled
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 585-7676 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Jun 19, 2019 (2 updates tracked since 2019).

About Matthew Bruner Md NPPES

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

MATTHEW BRUNER MD (NPI 1104486463) is an individual interventional cardiology provider in Salt Lake City, Utah, licensed in Utah (14282007-1205) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1104486463
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMATTHEW BRUNERCredential: MD
Location Address30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112 · (801) 585-7676
Phone(801) 585-7676
Sole ProprietorNo
Enumeration DateJune 19, 2019
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1104486463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in UT · 14282007-1205
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL82822 (SC)
30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112
Open in Google Maps ↗

Secondary Practice Location 1

Location 1162 Ashley Ave Rm 202Charleston, SC 29425-8907 · Phone (843) 792-4074

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Bruner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 20

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

DR. MERIDETH BROOKE CHILTON MD
Internal Medicine (Nephrology)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DANIEL P. VANDERHOEF MD
Internal Medicine (Pulmonary Disease)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
BHAVREET SINGH MBBS
Internal Medicine (Infectious Disease)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOHN PITTMAN MD
Internal Medicine
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
REZA NASROLLAHZADEH DO
Internal Medicine (Sleep Medicine)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 408-3617
DR. KELSEY J KLINGEL DO
Internal Medicine (Pulmonary Disease)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7693
SRIKAR SAMA M.D.
Internal Medicine (Rheumatology)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
MASON ARBABI MD
Internal Medicine (Obesity Medicine)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-9650

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 Matthew Bruner's NPI number?

The NPI number for Matthew Bruner is 1104486463. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Matthew Bruner located?

Matthew Bruner practices at 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112. The listed phone number is (801) 585-7676.

What is Matthew Bruner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Matthew Bruner enrolled in Medicare?

Yes. Matthew Bruner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Bruner was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.