DR. TANNER JACKSON DOBRUCKY DC
NPI 1285512590
Chiropractor in Midlothian, VA
About Dr. Tanner Jackson Dobrucky Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TANNER JACKSON DOBRUCKY DC (NPI 1285512590) is an individual chiropractor in Midlothian, Virginia, licensed in Virginia (0104558126) and active in the NPI registry since August 2025. He is a graduate of Life Chiropractic College (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tanner Jackson Dobrucky Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tanner Dobrucky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Midlothian, VA 23113
- Reassigned Medicare billing, Virginia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tanner Dobrucky's NPI number?
The NPI number for Tanner Dobrucky is 1285512590. It was assigned to this individual provider in the NPPES registry on August 25, 2025.
Where is Tanner Dobrucky located?
Tanner Dobrucky practices at 1527 Huguenot Rd # 101, Midlothian, VA 23113. The listed phone number is (804) 955-5194.
What is Tanner Dobrucky's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tanner Dobrucky enrolled in Medicare?
Yes. Tanner Dobrucky is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tanner Dobrucky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Dobrucky reassigns Medicare benefits to Story Health Collective (Midlothian, VA). The 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 Tanner Dobrucky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tanner Dobrucky was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Tanner Jackson Dobrucky, DC · NPI 1285512590
Chiropractor provider in Midlothian, Virginia. Individual provider, active in the CMS NPPES registry since August 25, 2025.
## Identity
- **NPI:** 1285512590 (Entity type: Individual)
- **Enumerated:** August 25, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0104558126 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1527 HUGUENOT RD # 101, Midlothian, VA 23113-2460
- **Phone:** (804) 955-5194
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Story Health Collective (NPI 1588531735, Midlothian, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2025
## Record status
- **NPPES last updated:** October 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1285512590) · Data from the CMS NPPES public registry.