Dr. Brooke Iwanski DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10604 Issued in FL

Legal business name

DR. BROOKE IWANSKI DC LLC

Practice address

1791 Boy Scout Dr Ste 6
Fort Myers, FL 33907-2137

Phone

(239) 332-2555

Fax

(239) 332-2556

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Brooke Iwanski, DC

Title

Owner

Phone

(407) 791-4172

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason B Kaster, DC

  • Chiropractor
  • Fort Myers, FL
  • NPI 1003895079
  NPD
• Nicholas Frank Caputo, D.C

  • Chiropractor
  • Fort Myers, FL
  • NPI 1164821047
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1992219141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 BOY SCOUT DR STE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072137",
            "telephone_number": "239-332-2555",
            "fax_number": "239-332-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 BOY SCOUT DR STE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072137",
            "telephone_number": "239-332-2555",
            "fax_number": "239-332-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BROOKE IWANSKI DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "IWANSKI",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-791-4172",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007632300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Christopher T Westland PA
• Dr Hanson & Associates PA
• Dr Jarod Ward Chiropractic
• Dr Senne Health Consultant LLC
• Dr Tracy Hutchinson LLC
• Dr. Carolyn Langford Urologic Solutions, LLC
• Dr. Colin McDowell, Optometrist, LLC
• Dr. David R. Slavens, P.a.
• Dr. Fereshteh Nourafshar M.D.
• Dr. George Bandli III, D.C. P.a.

• 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 Nov 27, 2017; 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.