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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
161820-1202 | UT | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 870395551005 | 05 | |
UT | STATE LICENSE | 161820-1202 | 01 |
Street Address |
4211 HOLLADAY BLVD |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-2607 |
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 |
Find all providers in zip 84124 |
Taxonomy Code | 111NX0800X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Orthopedic |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | SALT LAKE CITY |
Zip Code | 84124 |
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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.