Paul Joseph Brooke, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

X3583 Issued in NY

Practice address

16 Brentwood Rd
Bay Shore, NY 11706-8011

Phone

(631) 666-6661

Fax

(631) 666-0424

NPI assigned

May 15, 2007

Last updated

Apr 20, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Edison R. Blanco Physician PC

  • Family Medicine Physician
  • Bay Shore, NY
  • NPI 1669631032
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1275749426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068420",
            "telephone_number": "631-666-6661",
            "fax_number": "631-666-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068011",
            "telephone_number": "631-666-6661",
            "fax_number": "631-666-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKE",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X3583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "421629281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brentwood Pediatric & Adolescent Associates, PC
• Brighter Day Adult Day Care Inc.
• Brightwater Dental Care PC
• Brightwaters Internal Medicine PLLC
• Courtenay P Bromfield, MS OTR/L
• Eugene W Brooks, LCSW
• Paul Howard Broomfield, MD
• Laura Ann Brown-Rivera
• Alisa Adrien Brown, LMSW
• Erica Renee Brown, CNA

• Rehabilitation Chiropractor in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Rehabilitation Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.