MEDICARE: PATRICK JOSEPH BRUNNER D C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	755	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760548549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK JOSEPH BRUNNER D C

Provider Business Mailing Address
First Line	:	5330 RAPID RUN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4244
Country	:	US
Telephone Number	:	513-922-0606
Fax Number	:	513-922-5863

Provider Business Practice Location Address
First Line	:	5330 RAPID RUN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4244
Country	:	US
Telephone Number	:	513-922-0606
Fax Number	:	513-922-5863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	03/28/2025

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