Brodie I Klenk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034175 Issued in WA

Practice address

5409 17TH Ave NW
Seattle, WA 98107-3818

Phone

(206) 784-3895

Fax

(206) 784-7471

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ballard Central Chiropractic Inc

  • Chiropractor
  • Seattle, WA
  • NPI 1295935252
  Medicare reassignment NPD Authorized official
• Bend to Mend Physical Therapy, LLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1346526563
  NPD (past)
• Reach Rehab, LLC

  • Hand Occupational Therapist
  • Seattle, WA
  • NPI 1396203436
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932242823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073818",
            "telephone_number": "206-784-3895",
            "fax_number": "206-784-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073818",
            "telephone_number": "206-784-3895",
            "fax_number": "206-784-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENK",
        "first_name": "BRODIE",
        "middle_name": "I",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Kleitsch, ADN, BA
• Jordan Klekamp, MA
• Karen A Klemetson, PH.D., LMFT
• Robert Jared Klemisch, M.D.
• Todd Klempner
• Jill Klenota, MFT
• G Inese Kleper
• Katherine Elizabeth Klevjer, LMHC
• Kevin Klevjer, MA, LMHC
• Conor P Kleweno, M.D.

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.