Ryan Matthew Bruenger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011503 Issued in IL

Practice address

1526 W Jackson St
Macomb, IL 61455-1900

Phone

(309) 837-1466

NPI assigned

Sep 1, 2009

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vance Clinic PLLCGroup PAC ID 6507247970, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vance Clinic PLLC

  dba Vance Clinic of Chiropractic

  • Chiropractor
  • Quincy, IL
  • NPI 1992437438
  Medicare reassignment Care Compare group NPD
• Bruenger Chiropractic LLC

  • Chiropractor
  • Macomb, IL
  • NPI 1588322531
  Medicare reassignment Authorized official
• Vance Clinic of Chiropractic

  • Chiropractor
  • Quincy, IL
  • NPI 1992892889
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1245463629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 W JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551900",
            "telephone_number": "217-430-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551900",
            "telephone_number": "309-837-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUENGER",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeway, Inc (Henderson County Outpatient)
• Charnelle Nicole Brinker
• Jessica Britenstine, RPH
• Jill Marie Brody, M.D.
• Bruenger Chiropractic LLC
• Buffalo Prairie Dental Care of Macomb, Inc
• Michael Clayton Burgard, RPH
• Amy Ruth Burke
• Brandon James Burnett, APRN CNP
• Trudy Maria Buster, MSN, APN, CNP, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.

Verify at the official NPI Registry.