Bonnie Lyn Ruppert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10311 Issued in FL

Practice address

4842 N Kings Hwy
Fort Pierce, FL 34951-2243

Phone

(772) 405-7877

NPI assigned

May 31, 2011

Last updated

May 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Bonnie Lyn Zrallack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vigor Chiropractic & Wellness, LLC

  • Chiropractor
  • Fort Pierce, FL
  • NPI 1558654640
  NPD (past)

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1538453220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 WREN AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825635",
            "telephone_number": "772-405-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512243",
            "telephone_number": "772-405-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "BONNIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "ZRALLACK",
            "middle_name": "LYN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacquelyn Ruiz, MSW
• Jennifer Colette Ruiz
• Caryol-Lynn Rullo
• Suzanne Elizabeth Runge, NP-C
• Allen Michael Ruppert, D.C.
• Karleen Russ
• Noreen Josephine Russman, RN
• Karen Ryan
• Arif Sabir, CRNA
• Yadira Sable

• Chiropractor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.