The Brooks Accident and Injury Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2502 Issued in OK

Legal business name

THE BROOKS ACCIDENT AND INJURY CLINIC, LLC

Practice address

820 NW 13TH St
Oklahoma City, OK 73106-6827

Phone

(405) 943-0303

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Rodney Miller

Title

Owner

Phone

(405) 943-0303

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1699100164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066827",
            "telephone_number": "405-943-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066827",
            "telephone_number": "405-943-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKS ACCIDENT AND INJURY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-943-0303"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2502",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "20823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.