Individual provider Active NPI

Anthony Douglas Brooks, D.C.

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1053716035
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15151 Issued in TX
Practice address
1140 N FM 3083 Rd W Ste 700
Conroe, TX 77304-4569
Phone
(936) 756-3747
NPI assigned
Nov 3, 2014
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60515175 WA
Chiropractor 111N00000X 15151 TX Primary

Addresses

Primary practice location

1140 N FM 3083 Rd W Ste 700
Conroe, TX 77304-4569

Mailing address

124 Brooke Addison CT
Montgomery, TX 77316-1507
Phone (253) 677-4981

Other practice location 1

16150 NE 85th St Ste 110
Redmond, WA 98052-3541
Phone (425) 636-8354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622002831 TX Practitioner - Chiropractic 1254645500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 N FM 3083 Rd W
Suite 700
Conroe, TX 77304-4569
Phone (936) 756-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60515175WAMDChiropractor
15151TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom One PLLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
Dana McKirahan DC PA Chiropractor CurrentSince Apr 3, 2022 Accepting new patients

Locations

1140 N FM 3083 Rd W
Ste 700
Conroe, TX 77304
Phone (206) 948-4298

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1053716035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BROOKE ADDISON CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161507",
            "telephone_number": "253-677-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N FM 3083 RD W STE 700",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044569",
            "telephone_number": "936-756-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16150 NE 85th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523541",
            "country_code": "US",
            "telephone_number": "425-636-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ANTHONY",
        "middle_name": "DOUGLAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60515175",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.