Active NPI
Brian Laurie Vroom, D.C.
- Chiropractor
- Gresham, OR
National Provider Identifier
1215913637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272936
- Practice address
- 837 E Powell Blvd
Gresham, OR 97030-7617 - Phone
- (503) 669-9495
- Fax
- (503) 669-8257
- NPI assigned
- Dec 16, 2005
- Last updated
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 272936 | OR | Primary |
Addresses
Primary practice location
837 E Powell Blvd
Gresham, OR 97030-7617
Mailing address
837 E Powell Blvd
Gresham, OR 97030-7617
Phone (503) 669-9495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
837 E Powell Blvd
Gresham, OR 97030-7617
Phone (503) 669-9495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2936 | OR | MD | Counselor |
| 272936 | OR | MD | Chiropractor |
Interoperability endpoints
- drvroom@accv0001.direct.chirotouch.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gresham, OR
- NPI 1528450848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}Other providers in Gresham, OR
- Sarah Rose Vongdeuane
- Stephanie Vongphachanh
- Vop Gresham Pointe LLC (Gresham Pointe Senior Living)
- Theodore Vossen, SLP
- Pamela Walker Vredevelt, LPC
- W2 Powell Valley, LLC (Powell Valley Assisted Living Community)
- Georgianna Wade, LMT
- Michael Dean Wade, MS, LMT
- Shyra Q Wade, CSWA/QMHA-I
- Brian Wadyka, PHARM.D.
Sources for this page
- 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.