Individual provider Active NPI

Brooke A Breuer, DC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1922576529
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1094 Issued in ND
Practice address
215 W Main Ave
Bismarck, ND 58501-3741
Phone
(701) 255-4241
NPI assigned
Nov 13, 2018
Last updated
Nov 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1094 ND Primary

Addresses

Primary practice location

215 W Main Ave
Bismarck, ND 58501-3741

Mailing address

4900 34TH Ave NW
Mandan, ND 58554-1189
Phone (701) 471-0628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212002943 ND Practitioner - Chiropractic 0244578573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bright Life Family Chiropractic PCGroup PAC ID 1658783642, 2 clinicians

Practice addresses (Care Compare)

3001 Yorktown Dr
Suite 3
Bismarck, ND 58503-8619
Phone (701) 712-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1094NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Life Family Chiropractic, PC CurrentSince Feb 23, 2022 Accepting new patients

Locations

3001 Yorktown Dr
Ste 3
Bismarck, ND 58503
Phone (701) 712-8588

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1922576529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 34TH AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541189",
            "telephone_number": "701-471-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013741",
            "telephone_number": "701-255-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUER",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.