DR. DEREK PAUL BRUNER (NPI# 1952718249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952718249 |
| Entity Type | Individual |
| Full Name | DR. DEREK PAUL BRUNER |
| Credential | D.C. |
| Practice Address |
1858 Keller Pkwy Ste C Keller TX 76248-3758 |
| Practice Telephone | 8174319911 |
| Practice Fax Number | 8174313900 |
| Mailing Telephone | 8174319911 |
| Mailing Fax Number | 8174313900 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12675 | TX | Chiropractic Providers |
| Street Address |
1858 KELLER PKWY STE C |
| City | KELLER |
| State | TX |
| Zip Code | 76248-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062143 | Christopher Lucas Alamilla | Chiropractor | 451 Keller Pkwy, Keller, TX 76248-2302 | 2018-08-07 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1205371556 | Optum Health & Sport Therapy | Chiropractor | 201 Town Center Ln, Suite 1111, Keller, TX 76248-2158 | 2016-12-22 |
| 1598186421 | Ihab Alex Kayello | Chiropractor | 1317 Cadbury Ln, Keller, TX 76248-7205 | 2013-12-19 |
| 1457655219 | Tory Schoonmaker | Chiropractor | 4856 Trail Hollow Dr, Tx, Keller, TX 76244 | 2011-01-07 |
| 1306075833 | Jared Scott Hoyt | Chiropractor | 100 Bourland Rd Ste 170b, Keller, TX 76248-3591 | 2009-07-06 |
| 1578741963 | Core Chiropractic and Physical Therapy | Chiropractor | 891 Keller Pkwy, Suite 101, Keller, TX 76248-2482 | 2008-02-07 |
| 1982898862 | Laney Chiropractic & Sports Therapy, Pa | Chiropractor | 804 Keller Pkwy, Keller, TX 76248-2405 | 2007-09-04 |
| 1811192511 | Horton Chiropractic Clinic, P.a. | Chiropractor | 4140 Heritage Trace Pkwy Ste 300, Keller, TX 76248-1311 | 2007-06-20 |
| 1538293014 | Performance Chiropractic Clinic Pa | Chiropractor | 1834 Keller Pkwy Ste 300, Keller, TX 76248-3761 | 2007-03-15 |
| Find all providers in KELLER | ||||
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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.