DR. BRUCE VAN GUNDERSEN


Address: 4211 Holladay Blvd, Salt Lake City, UT 84124-2607
Phone: 8012728471

DR. BRUCE VAN GUNDERSEN (NPI# 1952409476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952409476
Entity Type Individual
Full Name DR. BRUCE VAN GUNDERSEN
Credential DC, FACO
Practice Address 4211 Holladay Blvd
Salt Lake City
UT 84124-2607
Practice Telephone 8012728471
Practice Fax Number 8014242219
Mailing Telephone 8012728471
Mailing Fax Number 8014242219
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NX0800X Chiropractor
Specialization: Orthopedic
161820-1202 UT Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 870395551005 05
UT STATE LICENSE 161820-1202 01

Office Location

Street Address 4211 HOLLADAY BLVD
City SALT LAKE CITY
State UT
Zip Code 84124-2607

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 111NX0800X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Orthopedic

Taxonomy Definition

Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.
Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770612566 Randall F. Malin Chiropractor 291 E 4500 S Ste B, Salt Lake City, UT 84107-3885 2007-03-05
1972616894 Cynthia A. Daw Chiropractor 1401 E 3900 S Ste 208, Salt Lake City, UT 84124-1483 2006-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912271073 Dr Loral G Linton Dc Professional Corp. Chiropractor 662 S. Hwy. 89a, Kanab, UT 84741-3646 2012-03-06
1659641827 Pack Chiropractic Clinic, Inc Chiropractor 2565 Tyler Ave, Ogden, UT 84401-2818 2012-01-05
1164559266 Victor Louis Tebbs Chiropractor 15 N 200 W, Hurricane, UT 84737-3484 2007-02-27
1124192042 Dale Harland Heath Chiropractor 792 S 400 E, Orem, UT 84097-6322 2006-11-20
1194894501 Loral G Linton Chiropractor 662 S Hwy. 89a, Kanab, UT 84741-3646 2006-11-07
1679660542 I Clark Labrum Chiropractor 415 W Tabernacle St, St George, UT 84770-3348 2006-10-10
1801832241 Neil Louis Erickson Chiropractor 169 N Gateway Dr Ste 223, Providence, UT 84332-9856 2006-06-22
1215979133 Donald A. Cofer Chiropractor 1901 Prospector Ave. Ste 10, Park City, UT 84060 2006-06-12
1730138470 Kelly B Jarvis Sr. Chiropractor 906 S Main St, Heber City, UT 84032-2403 2006-05-09
1669471405 Ronald L Rosquist Chiropractor 834 E 9400 S, Suite 57, Sandy, UT 84094-3600 2005-07-14
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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