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

Simon Bruckner, DC

Individual provider Chiropractor · NPI 1801582952

Simon Bruckner, DC is a Chiropractic in Clackamas, Oregon. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

9123 SE Saint Helens St Ste 185
Clackamas, OR 97015-6800
Phone: (503) 206-5042
Fax: (503) 206-5751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6288 (OR)

Record details

NPI number1801582952
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024
Mailing address2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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