John Kennedy Bruns, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

4088-012 Issued in WI

Practice address

9488 Shore Rd
Fish Creek, WI 54212-9696

Phone

(920) 912-2563

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruns Chiropractic Office LLC

  • Chiropractor
  • Sheboygan, WI
  • NPI 1386039972
  NPD (past) Authorized official
• Bruns Chiropractic Office SC

  • Medical Specialty Clinic/Center
  • Sheboygan, WI
  • NPI 1174723084
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1063580082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9488 SHORE RD",
            "city": "FISH CREEK",
            "state": "WI",
            "postal_code": "542129696",
            "telephone_number": "920-912-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9488 SHORE RD",
            "city": "FISH CREEK",
            "state": "WI",
            "postal_code": "542129696",
            "telephone_number": "920-912-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "JOHN",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "WI",
            "license": "4088-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Allen, RN
• Emerson Chiropractic Wellness Center LLC
• Elizabeth Anne Emerson, D.C.
• Stormy Gale
• Gilbraltar Area School District
• Jane R Kocol, DC

• Internist Chiropractor in Fish Creek, WI
• Providers in Fish Creek, WI by specialty
• Internist Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.