Brian Laurie Vroom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

272936 Issued in OR

Practice address

837 E Powell Blvd
Gresham, OR 97030-7617

Phone

(503) 669-9495

Fax

(503) 669-8257

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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.

• Advanced Care PC

  • Chiropractor
  • Gresham, OR
  • NPI 1093984130

  OR

  Medicare reassignment Authorized official

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: drvroom@accv0001.direct.chirotouch.md

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2015.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1215913637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307617",
            "telephone_number": "503-669-9495",
            "fax_number": "503-669-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307617",
            "telephone_number": "503-669-9495",
            "fax_number": "503-669-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROOM",
        "first_name": "BRIAN",
        "middle_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Vongdeuane
• Stephanie Vongphachanh
• Vop Gresham Pointe LLC
• Theodore Vossen, SLP
• Pamela Walker Vredevelt, LPC
• W2 Powell Valley, LLC
• Georgianna Wade, LMT
• Michael Dean Wade, MS, LMT
• Shyra Q Wade, CSWA/QMHA-I
• Brian Wadyka, PHARM.D.

• All providers in Gresham, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.