Dr. Edwin Brooks Roberts LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. EDWIN BROOKS ROBERTS LLC

Practice address

3960 W Navy Blvd Ste 17
Pensacola, FL 32507-1268

Phone

(850) 912-8355

Fax

(850) 741-8040

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Brooks Roberts II, DC

Title

Owner/Chiropractor

Phone

(850) 912-8355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aligned Spine Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1700490737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 W NAVY BLVD STE 17",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071268",
            "telephone_number": "850-912-8355",
            "fax_number": "850-741-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 W NAVY BLVD STE 17",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071268",
            "telephone_number": "850-912-8355",
            "fax_number": "850-741-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWIN BROOKS ROBERTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "850-912-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000569800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alignedspinepensacola.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3960 W Navy Blvd Ste 17",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325071268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aligned Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.