Active NPI
Tyler Brookings, DC
- Chiropractor
- Gresham, OR
National Provider Identifier
1790490605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6279
- Practice address
- 333 N Main Ave Ste 107
Gresham, OR 97030-7264 - Phone
- (207) 992-8495
- NPI assigned
- Jan 16, 2023
- 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 | 6279 | OR | Primary |
Addresses
Primary practice location
333 N Main Ave Ste 107
Gresham, OR 97030-7264
Mailing address
10100 SW Lancaster Rd
Portland, OR 97219-6303
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6279 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1790490605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 SW LANCASTER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N MAIN AVE STE 107",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307264",
"telephone_number": "207-992-8495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKINGS",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.