Active NPI
Garrett Thomas Bruni, D.C.
- Chiropractor
- Gilberts, IL
National Provider Identifier
1790069433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012033
- Practice address
- 219 E. Higgins Rd.
Gilberts, IL 60136-9627 - Phone
- (847) 551-5550
- Fax
- (847) 551-9560
- NPI assigned
- Sep 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012033 | IL | Primary |
Addresses
Primary practice location
219 E. Higgins Rd.
Gilberts, IL 60136-9627
Mailing address
219 E. Higgins Rd.
Gilberts, IL 60136-9627
Phone (847) 551-5550
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367712000000",
"number": "1790069433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E. HIGGINS RD.",
"city": "GILBERTS",
"state": "IL",
"postal_code": "601369627",
"telephone_number": "847-551-5550",
"fax_number": "847-551-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E. HIGGINS RD.",
"city": "GILBERTS",
"state": "IL",
"postal_code": "601369627",
"telephone_number": "847-551-5550",
"fax_number": "847-551-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNI",
"first_name": "GARRETT",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2013-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilberts, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.