Individual provider Active NPI

Brigitte Bruneau, D.C.

  • Chiropractor
  • Kansas City, KS
National Provider Identifier
1821039223
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04586 Issued in KS
Practice address
8135 Parallel Pkwy
Kansas City, KS 66112-2010
Phone
(913) 334-8080
Fax
(913) 334-8081
NPI assigned
Jun 9, 2006
Last updated
Mar 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04586 KS Primary

Addresses

Primary practice location

8135 Parallel Pkwy
Kansas City, KS 66112-2010

Mailing address

8135 Parallel Pkwy
Kansas City, KS 66112-2010
Phone (913) 334-8080

Other identifiers 1

IdentifierTypeStateIssuer
27910022OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000431 KS Practitioner - Chiropractic 6608890561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandotte Family Chiropractic Center IncGroup PAC ID 3274699764, 2 clinicians

Practice addresses (Care Compare)

8135 Parallel Pkwy
Kansas City, KS 66112-2010
Phone (913) 334-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04586KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandotte Family Chiropractic Center Inc Chiropractor CurrentSince Feb 18, 2009 Accepting new patients
Specific Chiropractic LLC Chiropractor PastSince Nov 1, 2005 Accepting new patients

Locations

8135 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 334-8080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1821039223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122010",
            "telephone_number": "913-334-8080",
            "fax_number": "913-334-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122010",
            "telephone_number": "913-334-8080",
            "fax_number": "913-334-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEAU",
        "first_name": "BRIGITTE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27910022",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.