Active NPI
Jamie Lynne Brunet, D.C
- Sports Physician Chiropractor
- Tampa, FL
National Provider Identifier
1255691440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH10633
- Practice address
- 1202 West Carmen Street
Tampa, FL 33606-1303 - Phone
- (813) 254-3707
- Fax
- (813) 337-0357
- NPI assigned
- May 21, 2012
- Last updated
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10633 | FL | |
| Nutrition Chiropractor | 111NN1001X | CH10633 | FL | |
| Sports Physician Chiropractor | 111NS0005X | CH10633 | FL | Primary |
| Rehabilitation Chiropractor | 111NR0400X | CH10633 | FL |
Addresses
Primary practice location
1202 West Carmen Street
Tampa, FL 33606-1303
Mailing address
1202 W Carmen St
Tampa, FL 33606-1303
Phone (616) 550-7628
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10633 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diesel Health and Recovery, LLC. | Current | Accepting new patients | |
| University Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
Locations
1202 W Carmen St
Tampa, FL 33606
Phone (813) 254-3707
Organizations & group practices 3
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.
-
- Sports Medicine (Preventive Medicine) Physician
- Tampa, FL
- NPI 1447923099
-
- Chiropractor
- Tampa, FL
- NPI 1609269810
-
- Adult Medicine Physician
- University Park, FL
- NPI 1265620595
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1255691440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 W CARMEN ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336061303",
"telephone_number": "616-550-7628",
"fax_number": "813-337-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 WEST CARMEN STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "336061303",
"telephone_number": "813-254-3707",
"fax_number": "813-337-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNET",
"first_name": "JAMIE",
"middle_name": "LYNNE",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "10633",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH10633",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH10633",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH10633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.