DR. BRADLEY BRUNNER DC, CCSP
NPI 1144684564
Chiropractor - Sports Physician in Lena, IL

Q: What is Bradley Brunner's NPI number?

The NPI number for Bradley Brunner is 1144684564. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Bradley Brunner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Brunner was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2016

214 ROUSCH ST, LENA, IL 61048(843) 609-5944 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Bradley Brunner Dc, Ccsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY BRUNNER DC, CCSP (NPI 1144684564) is an individual sports physician in Lena, Illinois, licensed in Illinois (038013262) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1144684564

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. BRADLEY BRUNNERCredential: DC, CCSP

Location Address214 ROUSCH STLena, IL 61048-8822

Mailing Address214 Rousch StLena, IL 61048-8822 · (843) 609-5944

Phone(843) 609-5944

Sole ProprietorYes

Enumeration DateApril 12, 2016

Last NPPES UpdateDecember 3, 2018

✔ NPI 1144684564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

Licenses✔ Licensed in IL · 038013262✔ Licensed in IA · 093348✔ Licensed in WI · 5079-12

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.

214 ROUSCH ST, Lena, IL 61048

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Brunner's NPI number?

The NPI number for Bradley Brunner is 1144684564. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Bradley Brunner located?

Bradley Brunner practices at 214 Rousch St, Lena, IL 61048. The listed phone number is (843) 609-5944.

What is Bradley Brunner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Bradley Brunner was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.