SIMON BRUCKNER DC
NPI 1801582952
Chiropractor in Clackamas, OR

Active since April 12, 2023Accepts Medicare Assignment
9123 SE SAINT HELENS ST STE 185, CLACKAMAS, OR 97015(503) 206-5042(503) 206-5751 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2024, Apr 12, 2023 (2 updates tracked since 2023).

About Simon Bruckner Dc NPPES

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

SIMON BRUCKNER DC (NPI 1801582952) is an individual chiropractor in Clackamas, Oregon, licensed in Oregon (6288) and active in the NPI registry since April 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1801582952
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSIMON BRUCKNERCredential: DC
Location Address9123 SE SAINT HELENS ST STE 185Clackamas, OR 97015-6800
Mailing Address2625 Butterfield Rd Ste 301nOak Brook, IL 60523-1266 · (630) 468-1824
Fax(503) 206-5751
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2023
Last NPPES UpdateAugust 24, 20242 updates tracked since enumeration
NPPES CertifiedAugust 24, 2024
NPI 1801582952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · 6288
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.
9123 SE SAINT HELENS ST STE 185, Clackamas, OR 97015

Accepted Insurance

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

Simon Bruckner 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 ID1254706658
PECOS Enrollment IDI20230418000724

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Multi-Specialty)
9123 SE SAINT HELENS ST STE 185
CLACKAMAS, OR 97015
Chiropractor
9123 SE SAINT HELENS ST STE 185
CLACKAMAS, OR 97015
Massage Therapist
9123 SE SAINT HELENS ST STE 185
CLACKAMAS, OR 97015
Massage Therapist
9123 SE SAINT HELENS ST STE 185
CLACKAMAS, OR 97015

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 Simon Bruckner's NPI number?

The NPI number for Simon Bruckner is 1801582952. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Simon Bruckner located?

Simon Bruckner practices at 9123 SE Saint Helens St Ste 185, Clackamas, OR 97015. The listed phone number is (503) 206-5042.

What is Simon Bruckner's specialty?

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

Is Simon Bruckner enrolled in Medicare?

Yes. Simon Bruckner 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.

What insurance does Simon Bruckner accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Simon Bruckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Bruckner was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.