Organization Active NPI

Brunson Chiropractic PA

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1982830212
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1347 Issued in ID
Legal business name
BRUNSON CHIROPRACTIC PA
Practice address
3092 S 25TH E
Idaho Falls, ID 83404-6520
Phone
(208) 522-8846
NPI assigned
Jun 1, 2009
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Jaman B Brunson, D.C.NPI 1558500652
Title
Owner/President
Phone
(208) 522-8846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1347 ID Primary

Addresses

Primary practice location

3092 S 25TH E
Idaho Falls, ID 83404-6520

Mailing address

3092 S 25TH E
Idaho Falls, ID 83404-6520
Phone (208) 522-8846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090706000310 ID Part B Supplier - Clinic/Group Practice 3870644701 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

3092 S 25th E
Idaho Falls, ID 83404
Phone (208) 522-8846

3244 S Woodruff Ave
Idaho Falls, ID 83404
Phone (208) 522-8846

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1982830212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3092 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046520",
            "telephone_number": "208-522-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3092 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046520",
            "telephone_number": "208-522-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSON CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "JAMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-522-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.