Active NPI
Carl Victor Brunello, DC
- Chiropractor
- Medina, OH
National Provider Identifier
1760483259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 899
- Practice address
- 600 E Smith Rd
Ste a
Medina, OH 44256-2666 - Phone
- (330) 725-4500
- Fax
- (330) 725-4504
- NPI assigned
- Aug 9, 2005
- 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 | 899 | OH | Primary |
| Chiropractor | 111N00000X | 1812 | GA |
Addresses
Primary practice location
600 E Smith Rd
Ste a
Medina, OH 44256-2666
Mailing address
600 E Smith Rd
Ste a
Medina, OH 44256-2666
Phone (330) 725-4500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000131840 | Other | OH | ANTHEM |
| 478666 | Medicaid | OH | |
| 341436169001 | Other | OH | MEDICAL MUTUAL |
| 81439 | Other | OH | QUALCHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1812 | GA | MD | Chiropractor |
| 899 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunello Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Medina, OH
- NPI 1912908815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760483259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E SMITH RD",
"address_2": "STE A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562666",
"telephone_number": "330-725-4500",
"fax_number": "330-725-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E SMITH RD",
"address_2": "STE A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562666",
"telephone_number": "330-725-4500",
"fax_number": "330-725-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNELLO",
"first_name": "CARL",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "899",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1812",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000131840",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "478666",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "341436169001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "81439",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.