Individual provider Active NPI

Michael Royce Brunette, D.C.

  • Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1821299546
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60506492 Issued in WA
Practice address
101 11TH St NE
East Wenatchee, WA 98802-4481
Phone
(509) 886-0131
Fax
(509) 884-8153
NPI assigned
May 30, 2007
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30242 CA
Chiropractor 111N00000X CHIA 1456 ID
Chiropractor 111N00000X CH 60506492 WA Primary

Addresses

Primary practice location

101 11TH St NE
East Wenatchee, WA 98802-4481

Mailing address

101 11TH St NE
East Wenatchee, WA 98802
Phone (509) 886-0131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007001248 WA Practitioner - Chiropractic 5395800171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovenell Chiropractic PSGroup PAC ID 5092606137, 2 clinicians

Practice addresses (Care Compare)

101 11TH St NE
East Wenatchee, WA 98802-4481
Phone (509) 886-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30242CAMDChiropractor
CHIA 1456IDMDChiropractor
CH 60506492WAMDChiropractor
30242CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ovenell Chiropractic PS Chiropractor CurrentSince Sep 26, 2014 Accepting new patients
King Chiropractic, a Shapiro Professional Corporation Chiropractor PastSince Nov 25, 2008 Accepting new patients

Locations

101 11th St NE
Wenatchee, WA 98802
Phone (509) 884-7137

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1821299546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 11TH ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "98802",
            "telephone_number": "509-886-0131",
            "fax_number": "509-884-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 11TH ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024481",
            "telephone_number": "509-886-0131",
            "fax_number": "509-884-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTE",
        "first_name": "MICHAEL",
        "middle_name": "ROYCE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30242",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 1456",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60506492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.