Jeffrey Scott Bruno, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Berthoud, CO
NPI 1518924125 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1518924125
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 6043 (CO)
- Practice address
- 1211 Lake Ave
Berthoud, CO 80513-9380 - Phone
- (970) 532-2755
- Fax
- (970) 532-9838
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6043 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. William Kleber, D.C., P.C. | Past | Accepting new patients | |
| Stacy a Phelps LTD | Past | Accepting new patients | |
| Phelps Chiropractic Center | Rehabilitation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 6043 | CO | Yes |
Addresses
Primary practice location
1211 Lake Ave
Berthoud, CO 80513-9380
Mailing address
1211 Lake Ave
Berthoud, CO 80513-9380
Phone (970) 532-2755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6043 | Other | CO | STATE LICENSE |
Other providers in Berthoud, CO
- Brendan Stephen Bourke
- Daniel Bower
- Elizabeth Ann Bracken
- Eryn Bradbury
- Diane Brennan
- Terri Campbell
- Carmen L Beckwith DDS PC
- Alexandra Carone
- Catholic Health Initiatives Colorado
- Marilee Clark
All providers in Berthoud, CO · Rehabilitation Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.