James Bradley Brooks, DC
Individual provider Active NPI Chiropractor · Waterloo, IA
NPI 1649219379 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1649219379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- A05512 (IA)
- Practice address
- 211 E Ridgeway Ave
Waterloo, IA 50702-5039 - Phone
- (319) 272-1852
- Fax
- (319) 272-2923
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Center Inc
Practice addresses (Care Compare)
226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800
Hospital & facility affiliations
- Mercyone Waterloo Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101118001145 | IA | Practitioner - Chiropractic | 7214123017 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05512 | IA | MD | Chiropractor |
| 22963 | IA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center Inc | Current |
Accepting new patients | |
| Covenant Medical Center, Inc. | Current |
Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
211 E Ridgeway Ave
Waterloo, IA 50702
Phone (319) 272-1850
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
2101 Kimball Ave
#14
Waterloo, IA 50702
Interoperability endpoints
- jbrooks3930128@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05512 | IA | Yes |
Addresses
Primary practice location
211 E Ridgeway Ave
Waterloo, IA 50702-5039
Mailing address
2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3092510 | Medicaid | IA |
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.