Brooke Nichole Iwanski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10604 Issued in FL

Practice address

9101 W College Pointe Dr Ste 1
Fort Myers, FL 33919-3390

Phone

(239) 208-0088

NPI assigned

Apr 25, 2012

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaster Inc

  • Chiropractor
  • Fort Myers, FL
  • NPI 1336335330
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1992063135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 W COLLEGE POINTE DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193390",
            "telephone_number": "239-208-0088",
            "fax_number": "239-288-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 W COLLEGE POINTE DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193390",
            "telephone_number": "239-208-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANSKI",
        "first_name": "BROOKE",
        "middle_name": "NICHOLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193652102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jess Itzikowitz, PA-C
• Ivan Cvik, MD, P.a.
• Ivan L Mazzorana Jr MD PA
• Christi Linn Iverson, APRN
• Kathleen M Iwanowski, RN
• Geeta Iyer, DO
• Shobana Iyer, MBBS
• Nadiezhda Iznaga Fernandez, RBT-25-447890
• Yenisleidys Izquierdo Perez
• Gleyty Izquierdo Ramirez

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.