Forest City Chiropractic & Sports Clinic,P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

A05402 Issued in IA

Legal business name

FOREST CITY CHIROPRACTIC & SPORTS CLINIC,P.C.

Practice address

245 N Clark St
Forest City, IA 50436-1511

Phone

(641) 585-3032

Fax

(641) 585-2382

NPI assigned

Nov 15, 2012

Last updated

Dec 4, 2012By 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. James L Brockhohn, DCNPI 1346334984

Title

Owner

Phone

(641) 585-3032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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.

• James Lee Brockhohn, D.C.

  • Sports Physician Chiropractor
  • Forest City, IA
  • NPI 1346334984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1508100579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N CLARK ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361511",
            "telephone_number": "641-585-3032",
            "fax_number": "641-585-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N CLARK ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361511",
            "telephone_number": "641-585-3032",
            "fax_number": "641-585-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CITY CHIROPRACTIC & SPORTS CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BROCKHOHN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-585-3032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A05402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Iowa Therapeutics PC (Athletico Physical Therapy)
• Molly Eichenberger, ARNP
• Amy Leigh Eiden
• Matthew W Farndale, PHARMD.
• Forest City Ambulance Service
• Forest City Community School District
• Forest Plaza Assisted Living
• Foundational Chiropractic LLC
• Nate Allen Gremmer
• Christopher Allen-Michael Harris, TCADC

• Sports Physician Chiropractor in Forest City, IA
• Providers in Forest City, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.