Individual provider Active NPI

William Michael Bruening, B.S., D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1609945385
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
862 Issued in NE
Practice address
10102 Maple St
Omaha, NE 68134-5555
Phone
(402) 571-3010
Fax
(402) 571-2987
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 862 NE Primary

Addresses

Primary practice location

10102 Maple St
Omaha, NE 68134-5555

Mailing address

10102 Maple St
Omaha, NE 68134-5555
Phone (402) 571-3010

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
862NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Austin J Johnson Chiropractic Wellness, LLC. Chiropractor CurrentSince Nov 15, 2015 Accepting new patients

Locations

10102 Maple St
Omaha, NE 68134
Phone (402) 571-3010

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1609945385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345555",
            "telephone_number": "402-571-3010",
            "fax_number": "402-571-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345555",
            "telephone_number": "402-571-3010",
            "fax_number": "402-571-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUENING",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.