Daniel Brisuda

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15662 Issued in FL

Practice address

230 Canal Blvd Ste 3
Ponte Vedra Beach, FL 32082-3745

Phone

(904) 594-7954

NPI assigned

Oct 8, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Gonstead Chiropractic Clinic of Jacksonville LLC

  • Health Service Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1225903305

  Chiropractor

  NPD Authorized official

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1487529665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CANAL BLVD STE 3",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CANAL BLVD STE 3",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823745",
            "telephone_number": "904-594-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISUDA",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowman Optometry, PA
• Samuel Todd Bowman, OD
• Angela Chris Bradberry, M. ED
• Branch Lane Psychotherapy
• Lisa Braren, AP
• Brittany Blalock Aprn LLC
• Andrea Marie Brogden
• Susan O'Connor Brown
• Carl D Brueggemeyer, M.D.
• Barbara Brutschy

• Chiropractor in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.