Organization Active NPI

Brocato Wellness Center

  • Chiropractor
  • Taylor, TX
National Provider Identifier
1396579454
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BROCATO WELLNESS CENTER
Doing business as
Brocato Wellness Center
Practice address
107 W 4TH St
Taylor, TX 76574-3522
Phone
(512) 309-4043
NPI assigned
Aug 29, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Dr. Holly Noel Brocato, DCNPI 1134819774
Title
Chiropractor/Owner
Phone
(512) 309-4043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X

Addresses

Primary practice location

107 W 4TH St
Taylor, TX 76574-3522

Mailing address

107 W 4TH St
Taylor, TX 76574-3522
Phone (512) 309-4043

Other names 1

  • Brocato Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231002278 TX Part B Supplier - Clinic/Group Practice 8729515887 Receives reassigned benefits from 1 practitioner
Practice locations: Taylor, TX

National Provider Directory

National Provider Directory

Locations

107 W 4th St
Taylor, TX 76574
Phone (512) 309-4043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1396579454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765743522",
            "telephone_number": "512-309-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765743522",
            "telephone_number": "512-309-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCATO WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "BROCATO",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "512-309-4043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brocato Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brocato Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.