Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bruce C Koelliker, DC

Individual provider Chiropractor · NPI 1902902539

Bruce C Koelliker, DC is a Chiropractic in Las Vegas, Nevada. Graduated from Los Angeles College of Chiropractic in 1995, 31 years ago. Practices with Peterson Chiropractic Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
31
Trained at
Los Angeles College of Chiropractic
Licensed in
NV
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

9775 S Maryland Pkwy Ste A
Las Vegas, NV 89183
Phone: (702) 837-0392
Fax: (702) 320-4148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence B646 (NV)

Record details

NPI number1902902539
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 18, 2008
Mailing address9775 S Maryland Parkway, Suite A, Las Vegas, NV 89183

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 1995 (31 years in practice)
Group practice Peterson Chiropractic Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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