Jacob Paul Brosamle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007159 Issued in IA

Practice address

1315 Golf Course Rd
Rock Valley, IA 51247-1548

Phone

(712) 476-2841

Fax

(712) 476-5085

NPI assigned

Feb 3, 2009

Last updated

Oct 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rock Valley Chiropractic, LLC

  • Chiropractor
  • Rock Valley, IA
  • NPI 1407271208
  Medicare reassignment NPD Authorized official
• Eagle Grove Chiropractic PLC

  • Chiropractor
  • Eagle Grove, IA
  • NPI 1194774620
  NPD (past)
• Parrott Family Chiropractic, P.C.

  dba Eagle Grove Chiropractic

  • Chiropractor
  • Eagle Grove, IA
  • NPI 1912134545
  NPD (past)
• Whitmer Spine & Sports Chiropractic

  • Chiropractor
  • Holstein, IA
  • NPI 1184817066
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1235377938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 GOLF COURSE RD",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471548",
            "telephone_number": "712-476-2841",
            "fax_number": "712-476-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 GOLF COURSE RD",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471548",
            "telephone_number": "712-476-2841",
            "fax_number": "712-476-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSAMLE",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lejeana Marie Anliker, MS MHC
• Sarah Connors Beucher, MD
• Austin John Blankespoor, DDS
• Kaitlyn Bradshaw, BCBA
• Jordyn Grace Broek
• Mary Elizabeth Brown, FNP-C
• Chirosport Rock Valley, PC
• City of Rock Valley
• Creative Living Center, P.C.
• Ziad Rashid Daoudi, M.D.

• Chiropractor in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.