Active NPI
Eric Brocka, D.C.
- Chiropractor
- Hiawatha, IA
National Provider Identifier
1215481908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 079316
- Practice address
- 95 Willman St
Hiawatha, IA 52233-1518 - Phone
- (319) 261-4888
- NPI assigned
- Aug 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 079316 | IA | Primary |
Addresses
Primary practice location
95 Willman St
Hiawatha, IA 52233-1518
Mailing address
600 Parkview Dr
Readlyn, IA 50668-9602
Phone (319) 939-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170511001220 | IA | Practitioner - Chiropractic | 2769769173 |
Reassigns benefits to 1 organization Practice locations: Hiawatha, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
95 Willman St
Hiawatha, IA 52233-1518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079316 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brocka Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Huygens Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Locations
95 Willman St
Hiawatha, IA 52233
Phone (319) 261-4888
Organizations & group practices 2
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.
-
- Chiropractor
- Hiawatha, IA
- NPI 1518673656
-
- Chiropractor
- Waverly, IA
- NPI 1750521613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1215481908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PARKVIEW DR",
"city": "READLYN",
"state": "IA",
"postal_code": "506689602",
"telephone_number": "319-939-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WILLMAN ST",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522331518",
"telephone_number": "319-261-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKA",
"first_name": "ERIC",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "079316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.