Individual provider Active NPI

Marcie Bruner

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1093364515
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13936 Issued in TX
Practice address
600 Six Flags Drive
Center Point Three, Suite 442
Arlington, TX 76011
Phone
(817) 642-7234
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13936 TX Primary

Addresses

Primary practice location

600 Six Flags Drive
Center Point Three, Suite 442
Arlington, TX 76011

Mailing address

600 Six Flags Drive
Center Point Three, Suite 442
Arlington, TX 76011
Phone (817) 642-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13936TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Chiropractic Solutions PLLC Chiropractor CurrentSince Sep 8, 2019 Accepting new patients

Locations

600 Six Flags Dr
Ste 442
Arlington, TX 76011
Phone (817) 642-7234

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1093364515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SIX FLAGS DRIVE",
            "address_2": "CENTER POINT THREE, SUITE 442",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76011",
            "telephone_number": "817-642-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SIX FLAGS DRIVE",
            "address_2": "CENTER POINT THREE, SUITE 442",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76011",
            "telephone_number": "817-642-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "MARCIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.