CHARLIE ED BRUNSON JR. MD
NPI 1780639500
Internal Medicine - Interventional Cardiology in Ogden, UT

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD STE 3490, OGDEN, UT 84403(801) 387-2650 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlie Ed Brunson Jr. Md NPPES

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

CHARLIE ED BRUNSON JR. MD (NPI 1780639500) is an individual interventional cardiology provider in Ogden, Utah, licensed in Utah (7752036-1205) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Mississippi School Of Medicine (1997).

NPPES Registry Identity

NPI1780639500
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameCHARLIE ED BRUNSON JR.Credential: MD
Location Address4403 HARRISON BLVD STE 3490Ogden, UT 84403-3284
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 387-2650
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1997
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
NPI 1780639500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in UT · 7752036-1205 Licensed in CO · 44477
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 Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 44477 (CO), 7752036-1205 (UT)
4403 HARRISON BLVD STE 3490, Ogden, UT 84403

Other Identifiers 2

Other44477CO · State License
Medicaid18603271CO

Accepted Insurance

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

Charlie Ed Brunson Jr. 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 ID3779563655
PECOS Enrollment IDI20110608000015
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
375 services363 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services187 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
214 services185 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
203 services191 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
38 services36 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460039
Location905 North 1000 WestTremonton, UT 84337 · Box Elder County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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 8

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

Physician Assistant
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Nurse Practitioner
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Interventional Cardiology)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403

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 Charlie Brunson's NPI number?

The NPI number for Charlie Brunson is 1780639500. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Charlie Brunson located?

Charlie Brunson practices at 4403 Harrison Blvd Ste 3490, Ogden, UT 84403. The listed phone number is (801) 387-2650.

What is Charlie Brunson's specialty?

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

Is Charlie Brunson enrolled in Medicare?

Yes. Charlie Brunson 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.

What insurance does Charlie Brunson accept?

Health plans from Select Health list Charlie Brunson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charlie Brunson affiliated with any hospitals?

According to CMS data, Charlie Brunson is affiliated with Mckay-Dee Hospital, Intermountain Medical Center, Logan Regional Hospital, Bear River Valley Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Charlie Brunson was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.