Individual provider Active NPI

Andria L Brooks, D.C.

  • Chiropractor
  • Calhoun, KY
National Provider Identifier
1861470536
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4935 Issued in KY
Practice address
344 Highway 81 N
Calhoun, KY 42327-9782
Phone
(270) 273-5122
Fax
(270) 273-9790
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4935 KY Primary

Addresses

Primary practice location

344 Highway 81 N
Calhoun, KY 42327-9782

Mailing address

344 State Hwy 81 N
Calhoun, KY 42327
Phone (270) 273-5122

Other identifiers 1

IdentifierTypeStateIssuer
85003663MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000590 KY Practitioner - Chiropractic 5597709675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

344 State RT 81
Calhoun, KY 42327-9782
Phone (270) 273-5122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4935KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. John D Strange, PSC Chiropractor CurrentSince Jun 8, 2005 Accepting new patients

Locations

344 State Route 81 N
Calhoun, KY 42327
Phone (270) 273-5122

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1861470536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 STATE HWY 81 N",
            "city": "CALHOUN",
            "state": "KY",
            "postal_code": "42327",
            "telephone_number": "270-273-5122",
            "fax_number": "270-273-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 HIGHWAY 81 N",
            "city": "CALHOUN",
            "state": "KY",
            "postal_code": "423279782",
            "telephone_number": "270-273-5122",
            "fax_number": "270-273-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ANDRIA",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003663",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.

Verify at the official NPI Registry.