Active NPI
John David Brouse, D.C.
- Chiropractor
- Ebensburg, PA
National Provider Identifier
1689764797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008898
- Practice address
- 1104 W High St
Unit 4a
Ebensburg, PA 15931-1707 - Phone
- (814) 472-9355
- Fax
- (814) 472-0886
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008898 | PA | Primary |
Addresses
Primary practice location
1104 W High St
Unit 4a
Ebensburg, PA 15931-1707
Mailing address
1104 W High St
Unit 4a
Ebensburg, PA 15931-1707
Phone (814) 472-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
948 W High St
Ebensburg, PA 15931-1806
Phone (814) 472-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC008898 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness 1St, P.C. | Chiropractor | Current | Accepting new patients |
| Thomas R. Brouse III, D.C. P.C. | Chiropractor | Past | Accepting new patients |
Locations
948 W High St
Ebensburg, PA 15931
Phone (814) 472-9355
Organizations & group practices 2
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.
-
- Chiropractor
- Ebensburg, PA
- NPI 1609964642
-
- Chiropractor
- Duncansville, PA
- NPI 1265560908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689764797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W HIGH ST",
"address_2": "UNIT 4A",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159311707",
"telephone_number": "814-472-9355",
"fax_number": "814-472-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W HIGH ST",
"address_2": "UNIT 4A",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159311707",
"telephone_number": "814-472-9355",
"fax_number": "814-472-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSE",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ebensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.