Individual provider Active NPI

Jonathan David Brooks, D.C.

  • Chiropractor
  • Culpeper, VA
National Provider Identifier
1285605154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556412 Issued in VA
Practice address
767 Madison Road
Suite 101
Culpeper, VA 22701-3340
Phone
(540) 825-5491
Fax
(540) 825-6493
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556412 VA Primary

Addresses

Primary practice location

767 Madison Road
Suite 101
Culpeper, VA 22701-3340

Mailing address

767 Madison Road
Suite 101
Culpeper, VA 22701-3340
Phone (540) 825-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214000423 VA Practitioner - Chiropractic 6507095528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

149 Belleview Ave
Orange, VA 22960-1401
Phone (540) 672-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556412VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Brooks Chiropractic, LLC Chiropractor CurrentSince Oct 21, 2016 Accepting new patients
Brooks Chiropractic Clinic, P.C. Chiropractor CurrentSince Nov 7, 2013 Accepting new patients
Ridgeline Physician Services, LLC Past Accepting new patients

Locations

767 Madison Rd
Ste 101
Culpeper, VA 22701
Phone (540) 825-5491

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285605154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 MADISON ROAD",
            "address_2": "SUITE 101",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013340",
            "telephone_number": "540-825-5491",
            "fax_number": "540-825-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 MADISON ROAD",
            "address_2": "SUITE 101",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013340",
            "telephone_number": "540-825-5491",
            "fax_number": "540-825-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • 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.
  • 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.