Individual provider Active NPI

Christopher Bruno, DC

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1396765590
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27209 Issued in CA
Practice address
215 Avenue I Ste 108
Redondo Beach, CA 90277-5609
Phone
(310) 374-7482
Fax
(310) 626-8122
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27209 CA Primary

Addresses

Primary practice location

215 Avenue I Ste 108
Redondo Beach, CA 90277-5609

Mailing address

PO Box 3436
Redondo Beach, CA 90277-1436
Phone (310) 374-7482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000852 CA Practitioner - Chiropractic 5890701247 Practice locations: Redondo Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

234 S Pacific Coast Hwy
Suite 202
Redondo Beach, CA 90277-7001
Phone (310) 374-7482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J Bruno DC Chiropractic Inc Chiropractor CurrentSince Oct 23, 2022 Accepting new patients

Locations

215 Avenue I
Ste 108
Redondo Beach, CA 90277
Phone (310) 374-7482

234 S Pacific Coast Hwy
Ste 202
Redondo Beach, CA 90277
Phone (310) 316-1613

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1396765590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3436",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771436",
            "telephone_number": "310-374-7482",
            "fax_number": "310-372-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 AVENUE I STE 108",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775609",
            "telephone_number": "310-374-7482",
            "fax_number": "310-626-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.