Grady Lee Brunk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2112 Issued in NE

Practice address

5012 3Rd Ave Ste 170
Kearney, NE 68845-8508

Phone

(308) 222-4400

Fax

(308) 222-4038

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Subluxation 2 LLCGroup PAC ID 4981015880, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Subluxation 2 LLC

  dba Active Family Chiropractic & Acupuncture

  • Chiropractor
  • Kearney, NE
  • NPI 1154923126
  Medicare reassignment Care Compare group NPD
• Subluxation 1, LLC

  dba Active Family Chiropractic & Acupuncture

  • Chiropractor
  • Hastings, NE
  • NPI 1669036810
  Medicare reassignment

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1851059398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031240",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 3RD AVE STE 170",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458508",
            "telephone_number": "308-222-4400",
            "fax_number": "308-222-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "GRADY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Brown
• Kelli Brueggemann
• Ashley Bruening
• Melissa B Bruggeman, PT
• Brett M Bruna, CRNA
• Bryan Hospital Kearney (Kearney Regional Medical Center Platte Valley Medical Clinic)
• Bryan Hospital Kearney (Kearney Regional Medical Center)
• Bryan Hospital Kearney
• Bryce Riessland Counseling LLC
• Mary Bryson

• Chiropractor in Kearney, NE
• Providers in Kearney, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.