Individual provider Active NPI

Darcy E. Brunk, D.C.

  • Chiropractor
  • Garland, TX
National Provider Identifier
1154320737
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6969 Issued in TX
Practice address
1606 Wynn Joyce Rd
Garland, TX 75043-3266
Phone
(972) 303-0683
Fax
(972) 303-9683
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6969 TX Primary

Addresses

Primary practice location

1606 Wynn Joyce Rd
Garland, TX 75043-3266

Mailing address

1606 Wynn Joyce Rd
Garland, TX 75043-3266
Phone (972) 303-0683

Other identifiers 2

IdentifierTypeStateIssuer
8G4260OtherTXBCBS
TX6969OtherTXDR. LICENSE

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

LicenseStateTypeSpecialty
6969TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Klesmit Chiropractic Offices, P.a. Past Accepting new patients
Klesmit Chiropractic Offices, P.a. Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154320737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WYNN JOYCE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433266",
            "telephone_number": "972-303-0683",
            "fax_number": "972-303-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WYNN JOYCE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433266",
            "telephone_number": "972-303-0683",
            "fax_number": "972-303-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "DARCY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G4260",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LICENSE",
            "identifier": "TX6969",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.