Bruce D Hermann, DC
Individual provider Active NPI Chiropractor · Winamac, IN
NPI 1851396352 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1851396352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000388 (IN)
- Practice address
- 439 E Old State Road 14
Winamac, IN 46996-8702 - Phone
- (574) 946-6111
- Fax
- (574) 946-6112
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000388 | IN | MD | Chiropractor |
| 2930 | KY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000388 | IN | Yes |
| Chiropractor | 111N00000X | 2930 | KY |
Addresses
Primary practice location
439 E Old State Road 14
Winamac, IN 46996-8702
Mailing address
439 E Old State Road 14
Winamac, IN 46996-8702
Phone (574) 946-6111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000181411 | Other | IN | ANTHEM |
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.