LANDON BRUNER DC
NPI 1669958278
Chiropractor in Chicago, IL

Active since July 17, 2018Accepts Medicare Assignment
3453 N SOUTHPORT AVE, CHICAGO, IL 60657(773) 348-2800 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Landon Bruner Dc NPPES

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

LANDON BRUNER DC (NPI 1669958278) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038013244) and active in the NPI registry since July 2018. He maintains a secondary practice location in Chicago and is a graduate of Logan College Of Chiropractic (2018).

NPPES Registry Identity

NPI1669958278
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameLANDON BRUNERCredential: DC
Location Address3453 N SOUTHPORT AVEChicago, IL 60657-1438
Mailing Address3453 N Southport AveChicago, IL 60657-1438 · (773) 348-2800
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2018
Enumeration DateJuly 17, 2018
NPI 1669958278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038013244
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.

3453 N SOUTHPORT AVE, Chicago, IL 60657

Secondary Practice Location 1

Location 14138 N Paulina StChicago, IL 60613-1813 · Phone (773) 348-2800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Landon Bruner Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840531778
PECOS Enrollment IDI20190403000073

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3453 N SOUTHPORT AVE
CHICAGO, IL 60657

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 Landon Bruner's NPI number?

The NPI number for Landon Bruner is 1669958278. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Landon Bruner located?

Landon Bruner practices at 3453 N Southport Ave, Chicago, IL 60657. The listed phone number is (773) 348-2800.

What is Landon Bruner's specialty?

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

Is Landon Bruner enrolled in Medicare?

Yes. Landon Bruner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Landon Bruner was last updated on July 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.