Phillip L. Brooks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1323 Issued in WI

Practice address

1032 S Spring St
Port Washington, WI 53074-2455

Phone

(262) 284-0500

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275645392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S SPRING ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742455",
            "telephone_number": "262-284-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S SPRING ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742455",
            "telephone_number": "262-284-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PHILLIP",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38986700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Brennan
• Laura G. Brewer, PSYD
• Broadstep-Wisconsin, Inc.
• Shannon Broeker, LPC
• Crystal Ann Brooks, DDS
• Christine Ann Brzakala, APNP
• Ashley Loren Buckmaster, APSW
• Andrew W Bunn, RN
• Sheri L Bunyan, PT
• Bryan Canfield

• Chiropractor in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.