Individual provider Active NPI

Jeff Brunzell, DC

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1609030303
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28879 Issued in CA
Practice address
28110 Newhall Ranch Rd
Santa Clarita, CA 91355-0990
Phone
(661) 221-0062
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28879 CA Primary

Addresses

Primary practice location

28110 Newhall Ranch Rd
Santa Clarita, CA 91355-0990

Mailing address

24105 Del Monte Dr Unit 450
Valencia, CA 91355-3805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1609030303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24105 DEL MONTE DR UNIT 450",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28110 NEWHALL RANCH RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913550990",
            "telephone_number": "661-221-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNZELL",
        "first_name": "JEFF",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.