Brian J Trudnak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03177 Issued in MA

Practice address

833 Route 28
Route 28
S Yarmouth, MA 02664-5254

Phone

(508) 394-1353

Fax

(508) 398-2866

NPI assigned

Feb 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Bass River Healthcare Associates IncGroup PAC ID 7618873027, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bass River Healthcare Associates, Inc.

  dba Bass River Chiropractic

  • Chiropractor
  • S Yarmouth, MA
  • NPI 1225010192
  Medicare reassignment Care Compare group NPD
• Active Life Chiropractic, LLC

  • Chiropractor
  • Newburyport, MA
  • NPI 1740237429
  NPD (past)
• Agj Physical Therapy Associates, L.L.C.

  • Physical Therapist
  • S Yarmouth, MA
  • NPI 1679805899
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1407024268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ROUTE 28",
            "address_2": "ROUTE 28",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026645254",
            "telephone_number": "508-394-1353",
            "fax_number": "508-398-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ROUTE 28",
            "address_2": "ROUTE 28",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026645254",
            "telephone_number": "508-394-1353",
            "fax_number": "508-398-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDNAK",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "03177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9252400",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA118776",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1112700",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11824901",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9340113",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevens Eye Care Associates PLLC
• Sandra Stuhr, LICSW
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #22)
• Town of Yarmouth
• Wendy Marie Treash, PA-C
• Michael Dennis Weber, PT, DPT, MS, OCS
• Amy Zaliski, PT

• Chiropractor in S Yarmouth, MA
• Providers in S Yarmouth, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.