Organization Active NPI

Bruno Chiropractic Inc.

  • Medical Specialty Clinic/Center
  • N Providence, RI
National Provider Identifier
1508370826
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DCP00639 Issued in RI
Legal business name
BRUNO CHIROPRACTIC INC.
Practice address
1822 Mineral Spring Ave
N Providence, RI 02904-8938
Phone
(401) 353-5990
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Erika Bruno, DCNPI 1316319437
Title
Owner/President
Phone
(401) 353-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DCP00639 RI Primary

Addresses

Primary practice location

1822 Mineral Spring Ave
N Providence, RI 02904-8938

Mailing address

1822 Mineral Spring Ave
N Providence, RI 02904-8938
Phone (401) 353-5990

Other names 1

  • Bruno Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117000206 RI Part B Supplier - Clinic/Group Practice 6204195431 Receives reassigned benefits from 1 practitioner
Practice locations: North Providence, RI

National Provider Directory

National Provider Directory

Locations

1822 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 353-5990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508370826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 MINERAL SPRING AVE",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029048938",
            "telephone_number": "401-353-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 MINERAL SPRING AVE",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029048938",
            "telephone_number": "401-353-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-353-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "RI",
            "license": "DCP00639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruno Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.