Individual provider Active NPI

Brooke Korhammer, DC

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1114516333
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020038102 Issued in MO
Practice address
930 Kehrs Mill Rd Ste 325-3
Ballwin, MO 63011-2403
Phone
(636) 489-9259
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020038102 MO Primary

Addresses

Primary practice location

930 Kehrs Mill Rd Ste 325-3
Ballwin, MO 63011-2403

Mailing address

14453 Willow Bend Park
Town and Country, MO 63017-8257
Phone (636) 489-9259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020038102MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Culture of Wellness, LLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

930 Kehrs Mill Rd
Ste 325-3
Ballwin, MO 63011
Phone (636) 489-9259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1114516333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14453 WILLOW BEND PARK",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178257",
            "telephone_number": "636-489-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 KEHRS MILL RD STE 325-3",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112403",
            "telephone_number": "636-489-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORHAMMER",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020038102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.