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BRUENING TOTAL WELLNESS CENTER LLC
NPI 1164997938
Chiropractor in Quincy, IL

Active since October 09, 2018
1210 N 24TH ST, QUINCY, IL 62301(217) 223-6170(217) 223-6177 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2018, Oct 9, 2018 (2 updates tracked since 2018).

About Bruening Total Wellness Center Llc NPPES

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

BRUENING TOTAL WELLNESS CENTER LLC (NPI 1164997938) is a healthcare organization registered as a chiropractor in Quincy, Illinois and active in the NPI registry since October 2018. The organization lists Brandon Anthony Bruening, Member, as its authorized official.

NPPES Registry Identity

NPI1164997938
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRUENING TOTAL WELLNESS CENTER LLC
Location Address1210 N 24TH STQuincy, IL 62301-2233
Mailing Address1210 N 24th StQuincy, IL 62301-2233 · (217) 223-6170 · Fax (217) 223-6177
Phone(217) 223-6170
Fax(217) 223-6177
Organization SubpartNo
Authorized OfficialBrandon Anthony BrueningMember · (217) 223-6170
Enumeration DateOctober 9, 2018
Last NPPES UpdateNovember 20, 20182 updates tracked since enumeration
✔ NPI 1164997938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1210 N 24TH ST, Quincy, IL 62301
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruening Total Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruening Total Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brandon Bruening, D.C.
Chiropractic
NPI 1588060115
1210 N 24TH ST
Quincy, IL 62301
(217) 223-6170
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2156524

Bruening Total Wellness Center · Quincy, IL
Expired · Oct 18, 2026
CLIA Number14D2156524
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorBrandon Bruening
Laboratory Phone(217) 223-6170
Laboratory LocationBruening Total Wellness Center1210 N 24th St, Quincy, IL 62301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bruening Total Wellness Center LLC's NPI number?

The NPI number for Bruening Total Wellness Center LLC is 1164997938. It was assigned to this organization in the NPPES registry on October 9, 2018.

Where is Bruening Total Wellness Center LLC located?

Bruening Total Wellness Center LLC is located at 1210 N 24th St, Quincy, IL 62301. The listed phone number is (217) 223-6170.

What is Bruening Total Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bruening Total Wellness Center LLC enrolled in Medicare?

Yes. Bruening Total Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruening Total Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bruening Total Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruening Total Wellness Center LLC was last updated on November 20, 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.