Individual provider Active NPI

Daniel Joseph Bruner, DC

  • Chiropractor
  • Lemoyne, PA
National Provider Identifier
1316435233
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011365 Issued in PA
Practice address
1 Lemoyne SQ Ste 100
Lemoyne, PA 17043-1230
Phone
(717) 999-4347
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011365 PA Primary

Addresses

Primary practice location

1 Lemoyne SQ Ste 100
Lemoyne, PA 17043-1230

Mailing address

1 Lemoyne SQ Ste 100
Lemoyne, PA 17043-1230
Phone (717) 999-4347

Other practice location 1

1345 State Route 209
Millersburg, PA 17061-8208
Phone (717) 692-2349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610002613 PA Practitioner - Chiropractic 2264765031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Lemoyne SQ
Suite 100B
Lemoyne, PA 17043-1230
Phone (717) 999-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011365PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisburg Joint and Muscle, LLC Chiropractor CurrentSince Nov 3, 2020 Accepting new patients
K D Chiropractic PLLC Chiropractor PastSince Nov 1, 2025 Accepting new patients
Altland Chiropractic, LLC Chiropractor PastSince Sep 17, 2019 Accepting new patients

Locations

1 Lemoyne Sq
Ste 100
Lemoyne, PA 17043
Phone (717) 718-9459

1 Lemoyne Sq
Ste 100B
Lemoyne, PA 17043
Phone (717) 999-4347

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1316435233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEMOYNE SQ STE 100",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431230",
            "telephone_number": "717-999-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEMOYNE SQ STE 100",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431230",
            "telephone_number": "717-999-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 State Route 209",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "PA",
            "postal_code": "170618208",
            "country_code": "US",
            "telephone_number": "717-692-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.