Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William J Brunelli, PA

Individual provider Physician Assistant · NPI 1629097977

William J Brunelli, PA is a Physician Assistant in Salem, Virginia. Qualified in 2001, 25 years ago. Practices with Vista Radiology Consultants, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
25
Licensed in
VA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1900 Electric Rd
Salem, VA 24153-7474
Phone: (540) 776-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001437 (VA)

Record details

NPI number1629097977
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing addressPo Box 12668, Roanoke, VA 24027-2668

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Vista Radiology Consultants — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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