Individual provider Active NPI

Elizabeth L Gonzalez Bruno, DC

  • Chiropractor
  • Royal Palm Beach, FL
National Provider Identifier
1962831289
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10746 Issued in FL
Practice address
125 S State Road 7
Suite 103
Royal Palm Beach, FL 33414-4385
Phone
(954) 336-9019
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10746 FL Primary
Rehabilitation Chiropractor 111NR0400X CH 10746 FL
Independent Medical Examiner Chiropractor 111NI0013X CH 10746 FL

Addresses

Primary practice location

125 S State Road 7
Suite 103
Royal Palm Beach, FL 33414-4385

Mailing address

125 S State Road 7
Suite 104-274
Wellington, FL 33414-4385
Phone (954) 336-9019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909000492 FL Practitioner - Chiropractic 8527374263 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10746FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Papa, D.C., P.a. Chiropractor CurrentSince Apr 1, 2019 Accepting new patients
Michael Papa,D.C.,P.a. Chiropractor CurrentSince Apr 1, 2019 Accepting new patients
Michael Papa DC PA Chiropractor Current Accepting new patients

Locations

2632 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 340-3132

Organizations & group practices 4

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1962831289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S STATE ROAD 7",
            "address_2": "SUITE 104-274",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144385",
            "telephone_number": "954-336-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S STATE ROAD 7",
            "address_2": "SUITE 103",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144385",
            "telephone_number": "954-336-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ BRUNO",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10746",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 10746",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH 10746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.