Individual provider Active NPI

Brian Alan Rohrick, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1174750632
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6667 Issued in CO
Practice address
3221 Eastbrook Dr
Unit 102
Fort Collins, CO 80525-5708
Phone
(248) 807-9181
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009571 MI
Chiropractor 111N00000X 6667 CO Primary

Addresses

Primary practice location

3221 Eastbrook Dr
Unit 102
Fort Collins, CO 80525-5708

Mailing address

1442 Folsum Dr
Windsor, CO 80550-4692
Phone (248) 807-9181

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009571MIMDChiropractor
6667COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1174750632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 FOLSUM DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504692",
            "telephone_number": "248-807-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 EASTBROOK DR",
            "address_2": "UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255708",
            "telephone_number": "248-807-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRICK",
        "first_name": "BRIAN",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009571",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.