Active NPI
Kathryn Kay Brungard, DC
- Chiropractor
- Scottsdale, AZ
National Provider Identifier
1245718931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9266
- Practice address
- 4432 N Miller Rd Ste 102
Scottsdale, AZ 85251-3697 - Phone
- (319) 981-1656
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00751600 | NJ | |
| Chiropractor | 111N00000X | 9266 | AZ | Primary |
Addresses
Primary practice location
4432 N Miller Rd Ste 102
Scottsdale, AZ 85251-3697
Mailing address
445 E Germann Rd Apt 3011
Gilbert, AZ 85297-5800
Phone (319) 981-1656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621001921 | AZ | Practitioner - Chiropractic | 7113278649 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1245718931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E GERMANN RD APT 3011",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852975800",
"telephone_number": "319-981-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4432 N MILLER RD STE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513697",
"telephone_number": "319-981-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNGARD",
"first_name": "KATHRYN",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00751600",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "9266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.