Organization Active NPI

Brookwood Chiropractic Inc.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1104839182
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3643 Issued in OK
Legal business name
BROOKWOOD CHIROPRACTIC INC.
Practice address
810 SW 89TH St
Oklahoma City, OK 73139-9334
Phone
(405) 691-3838
Fax
(405) 691-3837
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Leslie A. Bost, D.C.NPI 1780612374
Title
Doctor of Chiropractic
Phone
(405) 691-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3643 OK Primary

Addresses

Primary practice location

810 SW 89TH St
Oklahoma City, OK 73139-9334

Mailing address

810 SW 89TH St
Oklahoma City, OK 73139-9334
Phone (405) 691-3838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080919000105 OK Part B Supplier - Clinic/Group Practice 1254408016 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

810 SW 89th St
Oklahoma City, OK 73139
Phone (405) 691-3838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1104839182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399334",
            "telephone_number": "405-691-3838",
            "fax_number": "405-691-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399334",
            "telephone_number": "405-691-3838",
            "fax_number": "405-691-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "BOST",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "405-691-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.