Brook Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27589 Issued in CA

Legal business name

BROOK CHIROPRACTIC, INC

Practice address

11686 Gateway Blvd
Los Angeles, CA 90064-2829

Phone

(310) 392-5456

Fax

(310) 444-5519

NPI assigned

Jan 30, 2007

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Seth Brook, DCNPI 1962696872

Title

President

Phone

(310) 392-5456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Jeremy Seth Brook, D.C

  • Chiropractor
  • Los Angeles, CA
  • NPI 1962696872
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1427195544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11686 GATEWAY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642829",
            "telephone_number": "310-392-5456",
            "fax_number": "310-444-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11686 GATEWAY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642829",
            "telephone_number": "310-392-5456",
            "fax_number": "310-444-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-392-5456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Michael Bronstein, MD
• Lloyd Charles Bronstein, MFT
• Michael A. Bronstein, MD
• Yuri L Bronstein, MD
• Paul K Bronston, MD
• Natalie Ruth Brook-Litenatsky, OTR/L
• Ilanit Brook, M.D.
• Jeremy Seth Brook, D.C
• Rachel Plaut Brook, M.D.
• Robert Henry Brook, MD

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.