Individual provider Active NPI

Brooke Schomp, D.C., B.S.

  • Chiropractor
  • Chamberlain, SD
National Provider Identifier
1710275615
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1196 Issued in SD
Practice address
113 W Lawler Ave
Chamberlain, SD 57325-1517
Phone
(605) 234-2225
Fax
(605) 234-2224
NPI assigned
Jul 13, 2011
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1196 SD Primary

Addresses

Primary practice location

113 W Lawler Ave
Chamberlain, SD 57325-1517

Mailing address

113 W Lawler Ave
Chamberlain, SD 57325-1517
Phone (605) 234-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000124 SD Practitioner - Chiropractic 8123290947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 S Main St
Chamberlain, SD 57325-1519
Phone (605) 234-2225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1196SDMDMarriage & Family Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1710275615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W LAWLER AVE",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251517",
            "telephone_number": "605-234-2225",
            "fax_number": "605-234-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W LAWLER AVE",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251517",
            "telephone_number": "605-234-2225",
            "fax_number": "605-234-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMP",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamberlain, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.

Verify at the official NPI Registry.