Bruns Chiropractic Office SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005300 Issued in IL

Legal business name

BRUNS CHIROPRACTIC OFFICE SC

Practice address

800 W Trailcreek Dr
Peoria, IL 61614-1862

Phone

(309) 693-3800

Fax

(309) 693-7816

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Bruns, D.C.NPI 1225197437

Title

President

Phone

(309) 693-3800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Bruns, DC

  • Chiropractor
  • Peoria, IL
  • NPI 1225197437
  Medicare reassignment NPD Authorized official
• Sheena Joseph, D.C.

  • Chiropractor
  • Peoria, IL
  • NPI 1083860910
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1194987974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W TRAILCREEK DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141862",
            "telephone_number": "309-693-3800",
            "fax_number": "309-693-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W TRAILCREEK DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141862",
            "telephone_number": "309-693-3800",
            "fax_number": "309-693-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNS CHIROPRACTIC OFFICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-693-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Bruketa, D.C.
• William Kevin Brummitt, RPH
• Lee Michael Brune, PHARMD
• Schuylar Brunink
• Aleyna G Brunner, MD
• Michael A Bruns, DC
• Jill Nicole Brunson, COTA
• Casey Marie Brunton, DPT
• Alexandra Bryan, RD, LD
• Patricia Ann Bryan, MT

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.