Active NPI
Joshua Bruning, D.C.
- Chiropractor
- Canby, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6413
- Practice address
- 109 Saint Olaf Ave S
Canby, MN 56220-1432 - Phone
- (507) 223-5304
- NPI assigned
- Dec 6, 2013
- Last updated
- Mar 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609207364 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Canby Chiropractic Center PLLC | Chiropractor | Current | 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
- 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.
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
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
- Avera Marshall (Avera Eye Care Canby)
- Hector Edwin Aybar, MD
- Efthimios Alexander Bakalakos, M.D.
- Makayla Bretschneider, MD
- Canby Chiropractic Center PLLC (Canby Chiropractic Center)
- Canby Drug & Gifts Inc (Canby Drug & Gifts)
- Canby Drug & Gifts Inc (Canby Drug)
- Canby Public Schools Isd 891
- Michelle Marie Danielson, CNP
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.