Richard A Brull, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01889 Issued in MD

Practice address

4167 Patterson Ave
Baltimore, MD 21215-2221

Phone

(410) 764-2111

Fax

(410) 764-9947

NPI assigned

Nov 25, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1922081728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DR",
            "address_2": "SUITE 416",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201409",
            "telephone_number": "410-933-5678",
            "fax_number": "410-933-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 PATTERSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152221",
            "telephone_number": "410-764-2111",
            "fax_number": "410-764-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRULL",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "758507",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1534181",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chana Rochel Bruckenstein, LCPC
• Jennifer Brudno
• Paula Andrea de Jesus Bruges Silvera, MD
• Ann Brugh, PSY.D.
• Kelly Brukiewa, PTA
• Stanley Brull, M.D.
• Miranda Leigh Brulla, M.S
• Robert J Brumback, MD
• John Crowther Brummer, DDS
• Susan Brundage, MD

• Chiropractor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.