Landon Bruner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013244 Issued in IL

Practice address

3453 N Southport Ave
Chicago, IL 60657-1438

Phone

(773) 348-2800

NPI assigned

Jul 17, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeclinic Chiropractic of Illinois LLCGroup PAC ID 1153600648, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Lifeclinic Chiropractic of Illinois LLC

  • Chiropractor
  • Oak Brook, IL
  • NPI 1346584513
  Medicare reassignment Care Compare group NPD
• Natural Health and Longevity LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1063608867
  NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1669958278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571438",
            "telephone_number": "773-348-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571438",
            "telephone_number": "773-348-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4138 N Paulina St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606131813",
            "country_code": "US",
            "telephone_number": "773-348-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "LANDON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Brumley, M.D.
• Emily Brun
• Karen L. Bruneel, D.N.
• Lisa Naomi Brunengraber, MD
• Bruner & Gleason Therapeutic Services, LLC
• Michael Bruner, LCPC
• Maria Brunetta
• Daniel Robert Brunetti, D.D.S.
• Lauren Brunetti
• Angela Brunfeldt, APN

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.