NPIMap

Organization Active NPI

Brookhaven GP, LLC

  • Chiropractor
  • Farmers Branch, TX
National Provider Identifier
1346472644
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11221 Issued in TX
Legal business name
BROOKHAVEN GP, LLC
Practice address
13350 Josey LN Ste B
Farmers Branch, TX 75234-4960
Phone
(972) 484-0088
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Benjamin Cheuk-Man Corbaley, CHIROPRACTOR
Title
Managing Member
Phone
(972) 484-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11221 TX Primary

Addresses

Primary practice location

13350 Josey LN Ste B
Farmers Branch, TX 75234-4960

Mailing address

13350 Josey LN Ste B
Farmers Branch, TX 75234-4960

National Provider Directory

National Provider Directory

Locations

13350 Josey Ln
Ste B
Farmers Brnch, TX 75234
Phone (972) 484-0088

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1346472644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 JOSEY LN STE B",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 JOSEY LN STE B",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752344960",
            "telephone_number": "972-484-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN GP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "CORBALEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CHEUK-MAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-484-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.