Individual provider Active NPI

Kellen Ian Brusveen, D.C.

  • Chiropractor
  • Allendale, MI
National Provider Identifier
1275788374
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009471 Issued in MI
Practice address
5164 Lake Michigan Dr Ste D
Allendale, MI 49401-8506
Phone
(616) 777-0309
Fax
(616) 777-0523
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009471 MI Primary

Addresses

Primary practice location

5164 Lake Michigan Dr Ste D
Allendale, MI 49401-8506

Mailing address

5164 Lake Michigan Dr Ste D
Allendale, MI 49401-8506
Phone (616) 777-0309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000017 MI Practitioner - Chiropractic 3476617754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KB Chiropractic PLLCGroup PAC ID 3779760657, 4 clinicians

Practice addresses (Care Compare)

5164 Lake Michigan Dr
Suite D
Allendale, MI 49401-8506
Phone (616) 777-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Chiropractic PLLC Chiropractor PastSince Jan 2, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1275788374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 LAKE MICHIGAN DR STE D",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018506",
            "telephone_number": "616-777-0309",
            "fax_number": "616-777-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 LAKE MICHIGAN DR STE D",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018506",
            "telephone_number": "616-777-0309",
            "fax_number": "616-777-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSVEEN",
        "first_name": "KELLEN",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.