Organization Active NPI

Brookview Wellness

  • Chiropractor
  • Fuquay Varina, NC
National Provider Identifier
1487063301
Registry record updated Aug 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4495 Issued in NC
Legal business name
BROOKVIEW WELLNESS
Practice address
137 N Main St
Fuquay Varina, NC 27526-1933
Phone
(919) 577-2225
Fax
(919) 577-2226
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2014

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

Authorized official

Name
Dr. Brooke M Breitbach, DC
Title
Ceo / Chiropractor
Phone
(319) 389-1521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4495 NC Primary

Addresses

Primary practice location

137 N Main St
Fuquay Varina, NC 27526-1933

Mailing address

7224 Blue Juniper CT
Fuquay Varina, NC 27526-5472
Phone (319) 389-1521

National Provider Directory

National Provider Directory

Locations

1501 Lakestone Village Ln
Ste 105
Fuquay Varina, NC 27526
Phone (919) 577-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408233600000",
    "number": "1487063301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 BLUE JUNIPER CT",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265472",
            "telephone_number": "319-389-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-577-2225",
            "fax_number": "919-577-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVIEW WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-17",
        "status": "A",
        "authorized_official_last_name": "BREITBACH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO / CHIROPRACTOR",
        "authorized_official_telephone_number": "319-389-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.