Individual provider Active NPI

Brandon Rusche, D.C.

  • Chiropractor
  • Sibley, IA
National Provider Identifier
1891878385
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06895 Issued in IA
Practice address
701 3Rd Ave
Sibley, IA 51249-1605
Phone
(712) 754-4227
Fax
(712) 754-3889
NPI assigned
Oct 20, 2006
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06895 IA Primary

Addresses

Primary practice location

701 3Rd Ave
Sibley, IA 51249-1605

Mailing address

701 3Rd Ave
Sibley, IA 51249-1605
Phone (712) 754-4227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000396 IA Practitioner - Chiropractic 4789682964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 3Rd Ave
Sibley, IA 51249-1605
Phone (712) 754-4227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sport Chiropractic Chiropractor CurrentSince Jul 28, 2008 Accepting new patients
Pitts Family & Sports Chiropractic CTRS PC Chiropractor Past Accepting new patients

Locations

701 3rd Ave
Sibley, IA 51249
Phone (712) 754-4227

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1891878385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD AVE",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491605",
            "telephone_number": "712-754-4227",
            "fax_number": "712-754-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD AVE",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491605",
            "telephone_number": "712-754-4227",
            "fax_number": "712-754-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCHE",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sibley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.