Individual provider Active NPI

Brock Andrew Vosberg, D.C.

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1558799403
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007704 Issued in IA
Practice address
8191 Birchwood CT
Unit C
Johnston, IA 50131-2931
Phone
(515) 276-8326
Fax
(515) 276-5405
NPI assigned
Oct 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007704 IA Primary

Addresses

Primary practice location

8191 Birchwood CT
Unit C
Johnston, IA 50131-2931

Mailing address

8191 Birchwood CT
Unit C
Johnston, IA 50131-2931
Phone (515) 276-8326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311001927 IA Practitioner - Chiropractic 5991935066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8191 Birchwood CT
Unit C
Johnston, IA 50131-2931
Phone (515) 276-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1558799403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 BIRCHWOOD CT",
            "address_2": "UNIT C",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312931",
            "telephone_number": "515-276-8326",
            "fax_number": "515-276-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 BIRCHWOOD CT",
            "address_2": "UNIT C",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312931",
            "telephone_number": "515-276-8326",
            "fax_number": "515-276-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSBERG",
        "first_name": "BROCK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.