Active NPI
David Joseph Bruno, DC
- Chiropractor
- N Providence, RI
National Provider Identifier
1104964600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00172
- Practice address
- 1822 Mineral Spring Ave
N Providence, RI 02904 - Phone
- (401) 353-5990
- Fax
- (401) 353-6008
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00172 | RI | Primary |
Addresses
Primary practice location
1822 Mineral Spring Ave
N Providence, RI 02904
Mailing address
1822 Mineral Spring Ave
N Providence, RI 02904
Phone (401) 353-5990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120324000053 | RI | Practitioner - Chiropractic | 4789844028 | Practice locations: N Providence, RI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104964600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 MINERAL SPRING AVE",
"city": "N PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-353-5990",
"fax_number": "401-353-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 MINERAL SPRING AVE",
"city": "N PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-353-5990",
"fax_number": "401-353-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.