Organization Active NPI

Brainworks Functional Neurology and Chiropractic Center

  • Neurology Chiropractor
  • Palm Bay, FL
National Provider Identifier
1619284668
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH9987 Issued in FL
Legal business name
BRAINWORKS FUNCTIONAL NEUROLOGY AND CHIROPRACTIC CENTER
Practice address
1320 Culver Dr NE
Suite 4
Palm Bay, FL 32907-1104
Phone
(321) 473-8185
NPI assigned
Sep 10, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Roderick J Kirk, D.C.NPI 1669790507
Title
Chiropractor
Phone
(321) 473-8185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH9987 FL Primary

Addresses

Primary practice location

1320 Culver Dr NE
Suite 4
Palm Bay, FL 32907-1104

Mailing address

1320 Culver Dr NE
Suite 4
Palm Bay, FL 32907-1104
Phone (321) 473-8185

National Provider Directory

National Provider Directory

Locations

1320 Culver Dr NE
Ste 4
Palm Bay, FL 32907
Phone (321) 298-5577

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1619284668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CULVER DR NE",
            "address_2": "SUITE 4",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071104",
            "telephone_number": "321-473-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CULVER DR NE",
            "address_2": "SUITE 4",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071104",
            "telephone_number": "321-473-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINWORKS FUNCTIONAL NEUROLOGY AND CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "321-473-8185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH9987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.