Organization Active NPI

Brunelle Family Chiropractic

  • Chiropractor
  • North Kingstown, RI
National Provider Identifier
1407010812
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00309 Issued in RI
Legal business name
BRUNELLE FAMILY CHIROPRACTIC
Practice address
250 W Main St
North Kingstown, RI 02852-5116
Phone
(401) 295-2527
Fax
(401) 294-7870
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Amanda Lee Medeiros
Title
Billing Manager
Phone
(401) 295-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 00309 RI Primary

Addresses

Primary practice location

250 W Main St
North Kingstown, RI 02852-5116

Mailing address

250 W Main St
North Kingstown, RI 02852-5116
Phone (401) 295-2527

Other identifiers 2

IdentifierTypeStateIssuer
3519-6OtherRIBLUECROSS & BLUESHIELD OF RI
204087OtherRIBLUE CHIP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1407010812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525116",
            "telephone_number": "401-295-2527",
            "fax_number": "401-294-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525116",
            "telephone_number": "401-295-2527",
            "fax_number": "401-294-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNELLE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "401-295-2527",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "00309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUESHIELD OF RI",
            "identifier": "3519-6",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "204087",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.