Organization Active NPI

Brookfield Center for Chiropractic and Wellness PC

  • Chiropractor
  • Brookfield, CT
National Provider Identifier
1962673376
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000252 Issued in CT
Legal business name
BROOKFIELD CENTER FOR CHIROPRACTIC AND WELLNESS PC
Practice address
304 Federal Rd
Suite 109
Brookfield, CT 06804-2418
Phone
(203) 775-5555
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Bonnie Sharif
Title
Billing Manager
Phone
(203) 775-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 000252 CT Primary

Addresses

Primary practice location

304 Federal Rd
Suite 109
Brookfield, CT 06804-2418

Mailing address

304 Federal Rd
Suite 109
Brookfield, CT 06804-2418
Phone (203) 775-5555

National Provider Directory

National Provider Directory

Locations

304 Federal Rd
Ste 109
Brookfield, CT 06804
Phone (203) 775-5555

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1962673376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042418",
            "telephone_number": "203-775-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042418",
            "telephone_number": "203-775-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD CENTER FOR CHIROPRACTIC AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "203-775-5555"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.