Organization Active NPI

Brookfield Family Chiropractic, LLC

  • Chiropractor
  • Brookfield, CT
National Provider Identifier
1033218995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001363 Issued in CT
Legal business name
BROOKFIELD FAMILY CHIROPRACTIC, LLC
Practice address
499 Federal Rd
Unit #18
Brookfield, CT 06804-2041
Phone
(203) 775-7102
Fax
(203) 775-6843
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Zschunke
Title
Office Manger
Phone
(203) 775-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001363 CT Primary

Addresses

Primary practice location

499 Federal Rd
Unit #18
Brookfield, CT 06804-2041

Mailing address

499 Federal Rd
Unit #18
Brookfield, CT 06804-2041
Phone (203) 775-7102

Other identifiers 5

IdentifierTypeStateIssuer
050001363CT01OtherCTANTHEM
P2521445OtherCTOXFORD
71633OtherCTCONNECTICARE
6811432002OtherCTCIGNA
7417203OtherCTAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033218995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 FEDERAL RD",
            "address_2": "UNIT #18",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042041",
            "telephone_number": "203-775-7102",
            "fax_number": "203-775-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 FEDERAL RD",
            "address_2": "UNIT #18",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042041",
            "telephone_number": "203-775-7102",
            "fax_number": "203-775-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZSCHUNKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "203-775-7102"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "050001363CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2521445",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "71633",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6811432002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7417203",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.