Kyle Brotherton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4163 Issued in OK

Practice address

1514 SW 119TH St
Oklahoma City, OK 73170-4930

Phone

(405) 602-8925

Fax

(405) 304-3021

NPI assigned

Sep 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Align Oklahoma PCGroup PAC ID 2365720505, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Align Oklahoma PC

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1699121467
  Medicare reassignment Care Compare group NPD Authorized official
• Advantage Home Medical

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1235902388
  NPD
• Clark County Chiropractic P.a.

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1134395502
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1053711523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SW 119TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704930",
            "telephone_number": "405-602-8925",
            "fax_number": "405-604-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SW 119TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704930",
            "telephone_number": "405-602-8925",
            "fax_number": "405-304-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERTON",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Broom
• Jaylin Marie Brophy, MS RD LD
• Melissa Brosset Ugas, MD
• Emanuel A Brothers, B.S. BHRS
• Ollivett Brothers
• Heather Dawn Brotton, LPC
• Brou Enterprises LLC
• Juan A Brou, M.D.
• Alexandra Broussard
• Charlotte Ray Broussard, D.C.

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.