Individual provider Active NPI

Brooke Mazujian, DC

  • Chiropractor
  • Smyrna, DE
National Provider Identifier
1154040780
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0011089 Issued in DE
Practice address
699 S Carter Rd Unit 5
Smyrna, DE 19977-7754
Phone
(302) 389-8915
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0011089 DE Primary

Addresses

Primary practice location

699 S Carter Rd Unit 5
Smyrna, DE 19977-7754

Mailing address

5370 Farm LN
Greenwood, DE 19950-4442
Phone (302) 222-3805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930001442 DE Practitioner - Chiropractic 5193101947 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Wellness of Camden LLCGroup PAC ID 9739569328, 4 clinicians

Practice addresses (Care Compare)

4608 S Dupont Hwy
Suite 3
Dover, DE 19901-6408
Phone (302) 213-6116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0011089DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness of Wilmington, LLC Chiropractor CurrentSince Aug 26, 2022 Accepting new patients
Pure Wellness, LLC Chiropractor CurrentSince Aug 26, 2022 Accepting new patients
Pure Wellness of Camden, LLC Chiropractor CurrentSince Aug 26, 2022 Accepting new patients
Pure Wellness of Smyrna, LLC Chiropractor CurrentSince Aug 26, 2002 Accepting new patients
Pure Wellness of Middletown, LLC Chiropractor CurrentSince Aug 26, 2022 Accepting new patients

Locations

4608 S DuPont Hwy
Ste 3
Dover, DE 19901
Phone (302) 213-6116

708 Ash Blvd
Middletown, DE 19709
Phone (302) 365-6520

77 Milford Neck Rd
Ste 101
Milford, DE 19963
Phone (302) 215-0313

550 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 365-5470

1 Centurian Dr
Ste 104
Newark, DE 19713
Phone (302) 365-6520

699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 365-6520

2106 Silverside Rd
Ste 102
Wilmington, DE 19810
Phone (302) 478-8099

2106 Silverside Rd
Ste 101
Wilmington, DE 19810

Organizations & group practices 5

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1154040780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 FARM LN",
            "city": "GREENWOOD",
            "state": "DE",
            "postal_code": "199504442",
            "telephone_number": "302-222-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S CARTER RD UNIT 5",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777754",
            "telephone_number": "302-389-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUJIAN",
        "first_name": "BROOKE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0011089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.