Active NPI
Karen Brunjes, D.C.
- Chiropractor
- Ridgefield, CT
National Provider Identifier
1124241765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001008
- Practice address
- 343 Ethan Allen Hwy
Ridgefield, CT 06877-4701 - Phone
- (203) 438-9477
- Fax
- (203) 438-2190
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- 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 | 001008 | CT | Primary |
Addresses
Primary practice location
343 Ethan Allen Hwy
Ridgefield, CT 06877-4701
Mailing address
343 Ethan Allen Hwy
Ridgefield, CT 06877-4701
Phone (203) 438-9477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050001008CT01 | Other | CT | ANTHEM BLUE CROSS & SHIED |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001008 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1124241765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 ETHAN ALLEN HWY",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774701",
"telephone_number": "203-438-9477",
"fax_number": "203-438-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 ETHAN ALLEN HWY",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774701",
"telephone_number": "203-438-9477",
"fax_number": "203-438-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNJES",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS & SHIED",
"identifier": "050001008CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.