Delmar Wayne Brooks, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Marshall, TX
NPI 1962556837 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962556837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- DC5663 (TX)
- Practice address
- 1203 E Pinecrest Dr
Marshall, TX 75670-7355 - Phone
- (903) 938-0050
- Fax
- (903) 938-8081
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Progressive Chiropractic and
Practice addresses (Care Compare)
1203 E Pinecrest Dr
Marshall, TX 75670-7355
Phone (903) 938-0050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120828000445 | TX | Practitioner - Chiropractic | 4486801479 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC5663 | TX | MD | Rehabilitation Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC5663 | TX | Yes |
Addresses
Primary practice location
1203 E Pinecrest Dr
Marshall, TX 75670-7355
Mailing address
1203 E Pinecrest Dr
Marshall, TX 75670-7355
Phone (903) 938-0050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603455 | Other | TX | BCBS PROVIDER # |
| DC5663 | Other | TX | STATE LICENSE # |
Other providers in Marshall, TX
- Alejandro Botello I
- Shannon Christine Bounds
- Jeremy Bowers
- Cindy Brasher
- Carolyn Lajoyce Brents
- Kassidy Brooks
- Brookshire Grocery Company
- Gary Reed Brouillette
- Nora Jeannette Brown
- Bruce a Hale
All providers in Marshall, TX · Rehabilitation Chiropractor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.