Kyle Brunsmann, MSR, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.020355 Issued in IL

Practice address

211 Lebanon Ave
Belleville, IL 62220-4124

Phone

(618) 619-8200

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kinetic Health and Performance

  • Clinic/Center
  • Fairview Heights, IL
  • NPI 1750929220
  NPD Authorized official

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1619519725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 E MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LEBANON AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204124",
            "telephone_number": "618-619-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSMANN",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "MSR, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.020355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Lee Brown, D.P.M.
• Amy Lynn Bruce, MS CCC-SLP
• Matthew James Bruening, CRNA
• Amy Bruggemann, FNP
• Rachel Brunnworth
• Shelia Bryson, DDS
• Christopher Kenneth Buchheit, PHARM D
• Lucas Kyle Buckley, MD
• Yaimet Vidal Bucknor, MD
• Bradley Joseph Budde, MD

• Massage Therapist in Belleville, IL
• Providers in Belleville, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.