Active NPI
Joseph De Bruin, D.C.
- Chiropractor
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04459
- Practice address
- 8010 E McDowell Rd
123
Scottsdale, AZ 85257-3867 - Phone
- (480) 946-4476
- Fax
- (480) 946-3024
- NPI assigned
- Dec 7, 2005
- Last updated
- Aug 13, 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 | 04459 | AZ | Primary |
Addresses
Primary practice location
8010 E McDowell Rd
123
Scottsdale, AZ 85257-3867
Mailing address
8010 E McDowell Rd
123
Scottsdale, AZ 85257-3867
Phone (480) 946-4476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8010 E McDowell Rd
Suite 123
Scottsdale, AZ 85257-3869
Phone (480) 946-4476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04459 | AZ | MD | Chiropractor |
| 4459 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients | |
| De Bruin Chiropractic LTD | Chiropractor | Current | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
8010 E McDowell Rd
Ste 123
Scottsdale, AZ 85257
Phone (480) 946-4476
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Scottsdale, AZ
- NPI 1912101924
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1154306744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 E MCDOWELL RD",
"address_2": "123",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852573867",
"telephone_number": "480-946-4476",
"fax_number": "480-946-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 E MCDOWELL RD",
"address_2": "123",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852573867",
"telephone_number": "480-946-4476",
"fax_number": "480-946-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BRUIN",
"first_name": "JOSEPH",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "04459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.