Brooke Renee Stillwell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3421 Issued in MA

Practice address

205T Turnpike Road
Southborough, MA 01772-2113

Phone

(508) 353-0483

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bompiani Chiropractic Clinic

  • Chiropractor
  • Youngwood, PA
  • NPI 1164460267
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1124084025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TURNPIKE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722113",
            "telephone_number": "508-353-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205T TURNPIKE ROAD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722113",
            "telephone_number": "508-353-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Youngwood",
            "state": "PA",
            "postal_code": "156971154",
            "country_code": "US",
            "telephone_number": "724-925-9220",
            "fax_number": "724-925-3742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "BROOKE",
        "middle_name": "RENEE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3421",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Southey
• Lisa W Spellman, LIC. AC.
• Emily Vittal Srinivasaragavan
• Liv Meier Steen
• Lyndsey Stermer
• John L Stock, M.D.
• Susan Amesbury Stone, LIC. AC.
• Karen Fimbel Stunkel, LMHC
• Richard J Sturtevant Jr.
• Carmen Suarez, NP

• Chiropractor in Southborough, MA
• Providers in Southborough, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.