Active NPI
Jeremy Scott Holbrook, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1720287808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 713750
- Practice address
- 1551 NE 4TH St
Bend, OR 97701-4241 - Phone
- (541) 389-9373
- Fax
- (541) 388-0650
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 713750 | OR | Primary |
Addresses
Primary practice location
1551 NE 4TH St
Bend, OR 97701-4241
Mailing address
1551 NE 4TH St
Bend, OR 97701-4241
Phone (541) 389-9373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
598 NW Hill St
Suite B
Bend, OR 97703-2970
Phone (541) 639-5389
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713750 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holbrook Enterprise Inc. | Chiropractor | Current | Accepting new patients |
| Jennifer Finley L.Ac. | Current | Accepting new patients |
Locations
598 NW Hill St
Ste B
Bend, OR 97703
Phone (541) 385-7688
1551 NE 4th St
Bend, OR 97701
Phone (541) 318-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Bend, OR
- NPI 1295447134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1720287808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 NE 4TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977014241",
"telephone_number": "541-389-9373",
"fax_number": "541-388-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 NE 4TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977014241",
"telephone_number": "541-389-9373",
"fax_number": "541-388-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "JEREMY",
"middle_name": "SCOTT",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "713750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.