Ethan John Brunet, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2727 Issued in AL

Practice address

18557 E Hammond St
Robertsdale, AL 36567-3629

Phone

(251) 947-9010

Fax

(251) 947-9011

NPI assigned

Jun 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Cental Baldwin Chiropractic CenterGroup PAC ID 9739250119, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Cental Baldwin Chiropractic Center

  • Chiropractor
  • Robertsdale, AL
  • NPI 1013177104
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1912576356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365671044",
            "telephone_number": "850-910-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18557 E HAMMOND ST",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673629",
            "telephone_number": "251-947-9010",
            "fax_number": "251-947-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Golden Gate Plz",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441243416",
            "country_code": "US",
            "telephone_number": "440-298-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNET",
        "first_name": "ETHAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05056",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Niketa Bodalia, MPT
• Bonnie J Hindman LLC
• Julieana Brzozowski, CRNP, FNP-C
• Duane Carley, LICSW
• Castlebrook Counseling Inc
• Catholic Social Services
• Cental Baldwin Chiropractic Center

• Chiropractor in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.