Individual provider Active NPI

Brooke Rae Green, DC

  • Chiropractor
  • Emmaus, PA
National Provider Identifier
1962221440
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC012001 Issued in PA
Practice address
184 Main St Rear
Emmaus, PA 18049-4015
Phone
(610) 628-2502
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC012001 PA Primary

Addresses

Primary practice location

184 Main St Rear
Emmaus, PA 18049-4015

Mailing address

11913 State Route 365
Remsen, NY 13438-3366
Phone (315) 525-0166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000812 PA Practitioner - Chiropractic 2860914736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hanover Chiropractic, P.C.Group PAC ID 9032214440, 5 clinicians

Practice addresses (Care Compare)

1810 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-3363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC012001PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hanover Chiropractic, P.C. Chiropractor CurrentSince Mar 4, 2025 Accepting new patients

Locations

1810 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

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": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962221440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11913 STATE ROUTE 365",
            "city": "REMSEN",
            "state": "NY",
            "postal_code": "134383366",
            "telephone_number": "315-525-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 MAIN ST REAR",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180494015",
            "telephone_number": "610-628-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BROOKE",
        "middle_name": "RAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC012001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.