Organization Active NPI

Dr Dorothy B Brolin DC PLLC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1144305228
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2036 Issued in NC
Legal business name
DR DOROTHY B BROLIN DC PLLC
Practice address
1300 SE Maynard Rd
Ste 202
Cary, NC 27511-3602
Phone
(919) 388-9595
Fax
(919) 388-9596
NPI assigned
Oct 26, 2006
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Wykeita Worsley, DCNPI 1831570894
Title
Owner/Authorized Official
Phone
(919) 388-9595

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
Chiropractor 111N00000X 2036 NC Primary

Addresses

Primary practice location

1300 SE Maynard Rd
Ste 202
Cary, NC 27511-3602

Mailing address

1300 SE Maynard Rd
Ste 202
Cary, NC 27511-3602
Phone (919) 388-9595

Other identifiers 1

IdentifierTypeStateIssuer
890837RMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000686 NC Part B Supplier - Clinic/Group Practice 8325137516 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

1300 SE Maynard Rd
Ste 202
Cary, NC 27511
Phone (919) 388-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1144305228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SE MAYNARD RD",
            "address_2": "STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113602",
            "telephone_number": "919-388-9595",
            "fax_number": "919-388-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SE MAYNARD RD",
            "address_2": "STE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113602",
            "telephone_number": "919-388-9595",
            "fax_number": "919-388-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOROTHY B BROLIN DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "WORSLEY",
        "authorized_official_first_name": "WYKEITA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "919-388-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890837R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.