Individual provider Active NPI

Joshua Bruning, D.C.

  • Chiropractor
  • Canby, MN
National Provider Identifier
1609207364
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6413 Issued in MN
Practice address
109 Saint Olaf Ave S
Canby, MN 56220-1432
Phone
(507) 223-5304
NPI assigned
Dec 6, 2013
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1245 SD
Chiropractor 111N00000X 6413 MN Primary

Addresses

Primary practice location

109 Saint Olaf Ave S
Canby, MN 56220-1432

Mailing address

109 Saint Olaf Ave S
Canby, MN 56220-1432
Phone (507) 223-5304

Other practice location 1

8009 Sheridan Lake Rd
Rapid City, SD 57702-9041
Phone (605) 864-1780

Other practice location 2

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9661

Other identifiers 1

IdentifierTypeStateIssuer
1609207364MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171215001875 MN Practitioner - Chiropractic 3476874736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

109 Saint Olaf Ave S
Canby, MN 56220-1432
Phone (507) 223-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall CurrentSince Apr 14, 2018 Accepting new patients
Avera Marshall CurrentSince Apr 14, 2018 Accepting new patients
Canby Chiropractic Center PLLC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients

Locations

109 Saint Olaf Ave S
Canby, MN 56220
Phone (320) 235-7244

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

Interoperability endpoints

  • Direct secure messaging: joshua.bruning@avera.sdhealthlink.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1609207364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SAINT OLAF AVE S",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "562201432",
            "telephone_number": "507-223-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SAINT OLAF AVE S",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "562201432",
            "telephone_number": "507-223-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8009 Sheridan Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577029041",
            "country_code": "US",
            "telephone_number": "605-864-1780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Bruce St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "56258",
            "country_code": "US",
            "telephone_number": "507-532-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNING",
        "first_name": "JOSHUA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1245",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609207364",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.