Brunello Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

899 Issued in OH

Legal business name

BRUNELLO CHIROPRACTIC CLINIC INC

Practice address

600 E Smith Rd
Ste a
Medina, OH 44256-2666

Phone

(330) 725-4500

Fax

(330) 725-4504

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Carl Victor BrunelloNPI 1760483259

Title

Chiropractor Owner

Phone

(330) 725-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl Victor Brunello, DC

  • Chiropractor
  • Medina, OH
  • NPI 1760483259
  NPD (past) Authorized official

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912908815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SMITH RD",
            "address_2": "STE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562666",
            "telephone_number": "330-725-4500",
            "fax_number": "330-725-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E SMITH RD",
            "address_2": "STE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562666",
            "telephone_number": "330-725-4500",
            "fax_number": "330-725-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNELLO CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNELLO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "330-725-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM4600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric L Brown, MD
• Frederick L Brown, DPM
• Lauren Nicole Brown VI, COTA/L
• Adam B Browning, DC
• Jennifer R Brumfield, MA
• Carl Victor Brunello, DC
• Debra Sue Brunner, LPN
• Brunswick Health & Rehabilitation Center, Inc.
• Corinne Bryant
• Jennifer Bryant

• Chiropractor in Medina, OH
• Providers in Medina, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.