Organization Active NPI

Brotherton Family and Sports Chiropractic P.C.

  • Chiropractor
  • Lake View, IA
National Provider Identifier
1760726301
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007583 Issued in IA
Legal business name
BROTHERTON FAMILY AND SPORTS CHIROPRACTIC P.C.
Practice address
406 Main St
Lake View, IA 51450-7710
Phone
(712) 665-4099
NPI assigned
Nov 20, 2012
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Amanda BengfordNPI 1639423932
Title
D.C.
Phone
(712) 665-4099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007583 IA Primary

Addresses

Primary practice location

406 Main St
Lake View, IA 51450-7710

Mailing address

406 Main St
Lake View, IA 51450-7710
Phone (712) 665-4099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1760726301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MAIN ST",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507710",
            "telephone_number": "712-665-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MAIN ST",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507710",
            "telephone_number": "712-665-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERTON FAMILY AND SPORTS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BENGFORD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "712-665-4099"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake View, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.