Active NPI
Spencer Allen Brink, DC
- Chiropractor
- Iowa City, IA
National Provider Identifier
1447507595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007565
- Practice address
- 610 Eastbury Dr
Suite 3
Iowa City, IA 52245-7603 - Phone
- (319) 887-6992
- Fax
- (319) 887-6983
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007565 | IA | Primary |
Addresses
Primary practice location
610 Eastbury Dr
Suite 3
Iowa City, IA 52245-7603
Mailing address
704 9TH Ave
Coralville, IA 52241-1917
Phone (319) 331-5246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130309000007 | IA | Practitioner - Chiropractic | 5395990741 | Practice locations: Iowa City, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
610 Eastbury Dr
Suite 3
Iowa City, IA 52245-7603
Phone (319) 887-6992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1447507595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 9TH AVE",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411917",
"telephone_number": "319-331-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 EASTBURY DR",
"address_2": "SUITE 3",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522457603",
"telephone_number": "319-887-6992",
"fax_number": "319-887-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINK",
"first_name": "SPENCER",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.