Thomas R. Brouse III, D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0073971 Issued in PA

Legal business name

THOMAS R. BROUSE III, D.C. P.C.

Doing business as

Brouse Wellness Chiropractic

Practice address

1642 Old Route 220 N
Duncansville, PA 16635-8302

Phone

(814) 695-3303

Fax

(814) 695-3055

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Danielle M Bushore

Title

Operations Officer

Phone

(814) 695-3303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brouse Wellness Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas R Brouse III, D.C.

  • Chiropractor
  • Duncansville, PA
  • NPI 1417039033
  Medicare reassignment
• John David Brouse, D.C.

  • Chiropractor
  • Ebensburg, PA
  • NPI 1689764797
  NPD (past)
• Crystal Lynn Stephens, D.C.

  • Chiropractor
  • Altoona, PA
  • NPI 1821147794
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265560908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 OLD ROUTE 220 N",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358302",
            "telephone_number": "814-695-3303",
            "fax_number": "814-695-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 OLD ROUTE 220 N",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358302",
            "telephone_number": "814-695-3303",
            "fax_number": "814-695-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. BROUSE III, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSHORE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "814-695-3303"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC0073971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC0073971PA",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brouse Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Genevieve Marie Triana, LCSW
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• Robin Renee Walters, RN

• Chiropractor in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.