Organization Active NPI

Patrick J. Brunner D LLC

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1245503184
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0755 Issued in OH
Legal business name
PATRICK J. BRUNNER D LLC
Practice address
5330 Rapid Run Rd
Cincinnati, OH 45238-4244
Phone
(513) 922-0606
Fax
(513) 922-5863
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Dr. Patric J Brunner, DC
Title
Doctor
Phone
(513) 922-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0755 OH Primary

Addresses

Primary practice location

5330 Rapid Run Rd
Cincinnati, OH 45238-4244

Mailing address

5330 Rapid Run Rd
Cincinnati, OH 45238-4244
Phone (513) 922-0606

Other identifiers 1

IdentifierTypeStateIssuer
0426975MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000567 OH Part B Supplier - Clinic/Group Practice 1658532866 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

5330 Rapid Run Rd
Cincinnati, OH 45238
Phone (513) 451-1115

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1245503184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 RAPID RUN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384244",
            "telephone_number": "513-922-0606",
            "fax_number": "513-922-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 RAPID RUN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384244",
            "telephone_number": "513-922-0606",
            "fax_number": "513-922-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. BRUNNER D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "PATRIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "513-922-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "0755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.