Individual provider Active NPI

Brookelynn Denise Trybull, DC, MSFN, BS

  • Chiropractor
  • Justin, TX
National Provider Identifier
1770207656
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15345 Issued in TX
Practice address
112 W 4TH St Ste B
Justin, TX 76247-5014
Phone
(940) 648-1700
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15345 TX Primary

Addresses

Primary practice location

112 W 4TH St Ste B
Justin, TX 76247-5014

Mailing address

5035 Brown Dr
Kailua, HI 96734-6281
Phone (435) 630-0414

Other names 1

  • Brookelynn Denise Mele Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica R. Judge DC, LLC Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1770207656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 BROWN DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967346281",
            "telephone_number": "435-630-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST STE B",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475014",
            "telephone_number": "940-648-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBULL",
        "first_name": "BROOKELYNN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "DC, MSFN, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKELYNN",
            "last_name": "MELE",
            "middle_name": "DENISE",
            "credential": "DC, MSFN, BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.