Organization Active NPI

Bruner Chiropractic Health Center, Inc

  • Chiropractor
  • Connellsville, PA
National Provider Identifier
1982884979
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006118-L Issued in PA
Legal business name
BRUNER CHIROPRACTIC HEALTH CENTER, INC
Practice address
516 W Crawford Ave
Connellsville, PA 15425-2533
Phone
(724) 628-8872
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Michael Todd Bruner, D.C.NPI 1063590768
Title
President/Chiropractor
Phone
(724) 628-8872

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC006118-L PA Primary

Addresses

Primary practice location

516 W Crawford Ave
Connellsville, PA 15425-2533

Mailing address

516 W Crawford Ave
Connellsville, PA 15425-2533
Phone (724) 628-8872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051019000274 PA Part B Supplier - Clinic/Group Practice 5799701769 Receives reassigned benefits from 1 practitioner
Practice locations: Connellsville, PA

National Provider Directory

National Provider Directory

Locations

516 W Crawford Ave
Connellsville, PA 15425
Phone (412) 628-8872

420 W Crawford Ave
Connellsville, PA 15425
Phone (724) 628-6776

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1982884979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W CRAWFORD AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252533",
            "telephone_number": "724-628-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W CRAWFORD AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252533",
            "telephone_number": "724-628-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNER CHIROPRACTIC HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "724-628-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006118-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.