Individual provider Active NPI

Catherine Bruckner Inzerillo, D.C., A.T.C.

  • Chiropractor
  • Geneva, NY
National Provider Identifier
1184863441
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X7420 Issued in NY
Practice address
821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061
Phone
(631) 788-0811
Fax
(585) 398-8548
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X7420 NY Primary

Addresses

Primary practice location

821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061

Mailing address

821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061
Phone (631) 788-0811

Other names 1

  • Catherine Rebecca Bruckner Former name

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
X7420NYMDChiropractor
007420NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1184863441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "631-788-0811",
            "fax_number": "585-398-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "631-788-0811",
            "fax_number": "585-398-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZERILLO",
        "first_name": "CATHERINE",
        "middle_name": "BRUCKNER",
        "name_prefix": "Dr.",
        "credential": "D.C., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BRUCKNER",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.