Cory R Ellerbroek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12703 Issued in TX

Practice address

11420 Bee Caves Rd
A-100
Austin, TX 78738-5526

Phone

(512) 263-9961

Fax

(512) 263-9963

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Jepson Medical Affiliates PA

  • Sports Medicine (Emergency Medicine) Physician
  • Austin, TX
  • NPI 1396060711
  NPD (past)
• Jepson Wellness Group LLC

  • Chiropractor
  • Austin, TX
  • NPI 1184017030
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1639312366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD",
            "address_2": "A-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385526",
            "telephone_number": "512-263-9961",
            "fax_number": "512-263-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD",
            "address_2": "A-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385526",
            "telephone_number": "512-263-9961",
            "fax_number": "512-263-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBROEK",
        "first_name": "CORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Elizabeth Elledge, D.O.
• Iana Elledge, DMD
• Ellen Johnson Counseling, PLLC
• Morgan Eller
• Donald C Ellerbe, LCDC
• Ellie Rogers Counseling PLLC
• Josiah Taylor Ellington, APRN
• Kent T Ellington, M.D.
• Matthew David Ellington, M.D.
• Alexandra Lin Elliot, PHD, LP

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.