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

Dr. Bradley Brunner, DC, CCSP

Individual provider Sports Physician Chiropractor · NPI 1144684564

Dr. Bradley Brunner, DC, CCSP is a Sports Physician Chiropractor in Lena, Illinois. Practices as a sole proprietor. Licensed in Iowa, Illinois and Wisconsin.

Licensed in
IA, IL, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

214 Rousch St
Lena, IL 61048-8822
Phone: (843) 609-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 038013262 (IL)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 093348 (IA)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 5079-12 (WI)

Record details

NPI number1144684564
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , CCSP
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESDecember 3, 2018
Mailing address214 Rousch St, Lena, IL 61048-8822