Individual provider Active NPI

Kassidy Brooks, DC

  • Chiropractor
  • Marshall, TX
National Provider Identifier
1457246746
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC317608 Issued in TX
Practice address
1203 E Pinecrest Dr
Marshall, TX 75670-7355
Phone
(903) 938-0050
Fax
(903) 938-8081
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Progressive Chiropractic and 2 clinicians

Practice addresses (Care Compare)

1203 E Pinecrest Dr
Marshall, TX 75670-7355
Phone (903) 938-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001915 TX Practitioner - Chiropractic 0749758373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC317608TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Chiropractic & CurrentSince Jun 15, 2025 Accepting new patients

Locations

1203 E Pinecrest Dr
Marshall, TX 75670
Phone (903) 938-0050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC317608 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1203 E Pinecrest Dr
Marshall, TX 75670-7355

Mailing address

1203 E Pinecrest Dr
Marshall, TX 75670-7355
Phone (903) 938-0050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2025.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1457246746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E PINECREST DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756707355",
            "telephone_number": "903-938-0050",
            "fax_number": "903-938-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E PINECREST DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756707355",
            "telephone_number": "903-938-0050",
            "fax_number": "903-938-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KASSIDY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC317608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.