Brooke Ae Lee, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06807 Issued in IA

Legal business name

BROOKE AE LEE, LLC

Doing business as

Synergy Chiropractic & Holistic Health

Practice address

1912 Middle Rd Ste 200
Bettendorf, IA 52722-7600

Phone

(563) 888-5130

Fax

(563) 888-1780

NPI assigned

Jan 10, 2018

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKE AE LEE, LLCAs reported in NPPES

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

Authorized official

Name

Brooke Ae Lee, DCNPI 1013986983

Title

Owner/Chiropractor

Phone

(563) 888-5130

Specialties & licenses 1

Addresses

Other names 1

• Synergy Chiropractic & Holistic Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Part of

Brooke Ae Lee LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Alyssa Eckhardt Lee, LMT DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1013986983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1962919027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD STE 200",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-888-5130",
            "fax_number": "563-888-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD STE 200",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-888-5130",
            "fax_number": "563-888-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE AE LEE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKE AE LEE, LLC",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "AE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "563-888-5130",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Chiropractic & Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew David Bries, M.D.
• Fiona Briggs, M.A., CCC-SLP
• Stephany Marie Brimeyer, MPH RD LD
• Kimber Ann Brokaw, L.I.S.W
• Nicole Brokloff
• Adam Christopher Brooks, M.D.
• Katherine L Browne, NP-C
• Chelsie Bruck
• Audrey Michele Bunce, NP-C
• Rebecca Burgett, PHARMD

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.