Active NPI
John David Brockway, D.C.
- Chiropractor
- Denver, CO
National Provider Identifier
1760612634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6392
- Practice address
- 425 S Cherry St
Ste. 307
Denver, CO 80246-1226 - Phone
- (720) 889-1659
- Fax
- (720) 889-2873
- NPI assigned
- Jul 24, 2009
- 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 | 6392 | CO | Primary |
Addresses
Primary practice location
425 S Cherry St
Ste. 307
Denver, CO 80246-1226
Mailing address
425 S Cherry St
Suite 307
Denver, CO 80246
Phone (720) 889-1659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
425 S Cherry St
Suite 307
Denver, CO 80246-1226
425 S Cherry St
Suite 307
Denver, CO 80246-1230
Phone (720) 889-1659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6392 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockway Chiropractic | Chiropractor | Current | Accepting new patients |
| Tranquility Chiropractic & Wellness | Chiropractor | Past | Accepting new patients |
Locations
425 S Cherry St
Ste 307
Denver, CO 80246
Phone (720) 889-1659
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
- Denver, CO
- NPI 1437303203
-
- Chiropractor
- Denver, CO
- NPI 1326299850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1760612634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S CHERRY ST",
"address_2": "SUITE 307",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "720-889-1659",
"fax_number": "720-889-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S CHERRY ST",
"address_2": "STE. 307",
"city": "DENVER",
"state": "CO",
"postal_code": "802461226",
"telephone_number": "720-889-1659",
"fax_number": "720-889-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKWAY",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-24",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.