Organization Active NPI

Bruns Chiropractic Office SC

  • Medical Specialty Clinic/Center
  • Sheboygan, WI
National Provider Identifier
1174723084
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1362-012 Issued in WI
Legal business name
BRUNS CHIROPRACTIC OFFICE SC
Practice address
1429 North Ave
Sheboygan, WI 53083-4760
Phone
(920) 458-8252
Fax
(920) 458-3942
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. John Clarence Bruns, DC
Title
Chiropractor/Owner
Phone
(920) 458-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1362-012 WI Primary

Addresses

Primary practice location

1429 North Ave
Sheboygan, WI 53083-4760

Mailing address

1429 North Ave
Sheboygan, WI 53083-4760
Phone (920) 458-8252

Other identifiers 1

IdentifierTypeStateIssuer
38982300MedicaidWI

National Provider Directory

National Provider Directory

Locations

1429 North Ave
Sheboygan, WI 53083
Phone (920) 458-8252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1174723084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 NORTH AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530834760",
            "telephone_number": "920-458-8252",
            "fax_number": "920-458-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 NORTH AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530834760",
            "telephone_number": "920-458-8252",
            "fax_number": "920-458-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNS CHIROPRACTIC OFFICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "920-458-8252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "1362-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38982300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.