Active NPI
Brooke Rae Green, DC
- Chiropractor
- Emmaus, PA
National Provider Identifier
1962221440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC012001
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC012001 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover Chiropractic, P.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Gilbertsville, PA
- NPI 1689632929
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.