LANDON BRUNER DC
NPI 1669958278
Chiropractor in Chicago, IL
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Landon Bruner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 6 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Landon Bruner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Landon Bruner reassigns Medicare benefits to Lifeclinic Chiropractic Of Illinois LLC (Oak Brook, IL). 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 Landon Bruner'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 Landon Bruner was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Landon Bruner, DC · NPI 1669958278
Chiropractor provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 17, 2018.
## Identity
- **NPI:** 1669958278 (Entity type: Individual)
- **Enumerated:** July 17, 2018
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038013244 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3453 N SOUTHPORT AVE, Chicago, IL 60657-1438
- **Phone:** (773) 348-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lifeclinic Chiropractic Of Illinois LLC (NPI 1346584513, Oak Brook, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2018
## Record status
- **NPPES last updated:** July 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669958278) · Data from the CMS NPPES public registry.