DR. BRADLEY BRUNNER (NPI# 1144684564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144684564 |
Entity Type | Individual |
Full Name | DR. BRADLEY BRUNNER |
Credential | DC, CCSP |
Practice Address |
214 Rousch St Lena IL 61048-8822 |
Practice Telephone | 8436095944 |
Mailing Telephone | 8436095944 |
Enumeration Date | 2016-04-12 |
Last Update Date | 2018-12-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
093348 | IA | Chiropractic Providers |
N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5079-12 | WI | Chiropractic Providers |
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
038013262 | IL | Chiropractic Providers |
Street Address |
214 ROUSCH ST |
City | LENA |
State | IL |
Zip Code | 61048-8822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780295253 | Midwest Modern Health Pllc | Chiropractor | 306 East Main Street, Lena, IL 61048 | 2020-08-10 |
1972574689 | James T Liles | Chiropractor | 238 W Main St, Lena, IL 61048-0424 | 2006-01-30 |
1578677167 | Patrick George Schleich | Pharmacist | 154 W. Main St., Lena, IL 61048-0666 | 2006-08-19 |
1609027713 | Lena Winslow 202 | Local Education Agency (LEA) | 401 Fremont St, Lena, IL 61048-8610 | 2008-10-07 |
1114446978 | Kimberly Milder | Speech-Language Pathologist | 401 Fremont St, Lena, IL 61048-8610 | 2017-09-13 |
1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
1134523657 | Julio Delgadillo | Registered Nurse | 214 North Schuyler Street, Lena, IL 61048-8712 | 2014-10-13 |
1205132172 | Tanya Marie Knoup | Community Health Worker | 8475 W Mound Rd, Lena, IL 61048-9016 | 2011-02-09 |
1891957874 | Gordon Edward Dammann | Dentist | 123 W Railroad St, Lena, IL 61048-9038 | 2008-06-30 |
1073723714 | Jon D Wolfe | Dentist | 123 W. Railroad St., Lena, IL 61048-9038 | 2007-05-23 |
Find all providers in zip 61048 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114535531 | Dr. Carrie Skony, LLC | Chiropractor | 3080 Ogden Ave Ste 202, Lisle, IL 60532-1694 | 2020-07-22 |
1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
1154689933 | Scott Family Chiropractic Clinic PC | Chiropractor | 4180 Rfd Ste 83, Suite 100, Long Grove, IL 60047-9580 | 2012-04-30 |
1891071114 | Nowicki Chiropractic Corporation | Chiropractor | 1841 Hicks Rd, Suite C, Rolling Meadows, IL 60008-1250 | 2011-11-01 |
1659652196 | Lauren Natalie Wills | Chiropractor | 1710 E 1st St, Sterling, IL 61081-2902 | 2011-08-29 |
1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
1356572564 | Josh Hover | Chiropractor | 8424 Skokie Blvd, Ste. 207, Skokie, IL 60077-2568 | 2009-08-05 |
1063685246 | Thomas Burton Sperry | Chiropractor | 2585 Ogden Ave, Downers Grove, IL 60515-1708 | 2008-04-08 |
1992982664 | Jason W Ingham Dc Sc | Chiropractor | 4552 N Magnolia Ave, Chicago, IL 60640-5513 | 2008-01-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.