Dean Ervin Bruns, D.C.
Individual provider Active NPI Chiropractor · Marshall, MN
NPI 1689755407 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689755407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1482 (MN)
- Practice address
- 203 Jewett St
Marshall, MN 56258-3765 - Phone
- (507) 532-2203
- Fax
- (507) 532-2204
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
203 Jewett St
Marshall, MN 56258-3765
Phone (507) 532-2203
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081219000269 | MN | Practitioner - Chiropractic | 9234291584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1482 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruns Chiropractic, Inc | Chiropractor | Current |
Accepting new patients |
Locations
203 Jewett St
Marshall, MN 56258
Phone (507) 532-2203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1482 | MN | Yes |
Addresses
Primary practice location
203 Jewett St
Marshall, MN 56258-3765
Mailing address
203 Jewett St
Marshall, MN 56258-3765
Phone (507) 532-2203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95D22BR | Other | MN | BCBS |
Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.