DR. BRADLEY BRUNNER


Address: 214 Rousch St, Lena, IL 61048-8822
Phone: 8436095944

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 214 ROUSCH ST
City LENA
State IL
Zip Code 61048-8822

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

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City LENA
Zip Code 61048

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Dataset Information

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.

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