Rachel Brooks
Individual provider Active NPI Internist Chiropractor · Fort Gratiot, MI
NPI 1194115352 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1194115352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internist Chiropractor 111NI0900X
- License
- 2301010450 (MI)
- Practice address
- 2844 Krafft Rd
Fort Gratiot, MI 48059 - Phone
- (810) 385-4111
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brookside Chiropractic PLLC
Practice addresses (Care Compare)
2856 Krafft Rd
Fort Gratiot, MI 48059-3944
Phone (810) 385-8450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116000549 | MI | Practitioner - Chiropractic | 6305125311 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015001860 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookside Chiropractic PLLC | Internist | Current |
Accepting new patients |
Locations
2856 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 385-8450
2844 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 385-4111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2015001860 | MO | |
| Internist Chiropractor | 111NI0900X | 2301010450 | MI | Yes |
Addresses
Primary practice location
2844 Krafft Rd
Fort Gratiot, MI 48059
Mailing address
2844 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 385-4111
Other providers in Fort Gratiot, MI
- Teresa Elizabeth Bowen
- Steven W. Bremer
- Karen Brickner
- Jack Quinn Britz
- James Richard Brooks
- Brookside Chiropractic PLLC
- David Fredrick Brosofske
- Daja Brownnee
- Tori Buckingham
- Katelyn Mychelle Bunch
All providers in Fort Gratiot, MI · Internist Chiropractor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.