Individual
LUCA BRUNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29550
NE
208000000X
Pediatrics Physician
L8290
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
68789661205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
L8290
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MED-PHYS-LIC-149855
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164227401
CSHCN
TX
05
—
164227401
—
TX
05
—
164227402
—
TX
01
—
8J5408
BCBS
TX
Enumeration date
06/10/2006
Last updated
04/09/2025
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