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DR. BROOKE NICHOLE FRYE D.C.
NPI 1386780773
Chiropractor in Glen Carbon, IL

Active since January 30, 2007Accepts Medicare Assignment
3809 S. STATE ROUTE 159, GLEN CARBON, IL 62034(618) 692-1800(618) 205-8664 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2024, Sep 1, 2016 (2 updates tracked since 2016).

About Dr. Brooke Nichole Frye D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BROOKE NICHOLE FRYE D.C. (NPI 1386780773) is an individual chiropractor in Glen Carbon, Illinois, licensed in Illinois (038.010829) and active in the NPI registry since January 2007. She is a graduate of Logan College Of Chiropractic (2006).

NPPES Registry Identity

NPI1386780773
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. BROOKE NICHOLE FRYECredential: D.C.
Location Address3809 S. STATE ROUTE 159Glen Carbon, IL 62034-3020
Mailing Address3809 S State Route 159Glen Carbon, IL 62034-3020 · (618) 692-1800 · Fax (618) 205-8664
Phone(618) 692-1800
Fax(618) 205-8664
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2006
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1386780773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.010829
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3809 S. STATE ROUTE 159, Glen Carbon, IL 62034
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Other Names 1

Former Name (1)Dr. Brooke Nichole Lawson D.c.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brooke Nichole Frye D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365538428
PECOS Enrollment IDI20090225000686

Medicare Billing Reassignment

Medicare enrollment records show Brooke Frye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frye Chiropractic And Laser Center LLC
Same address
Chiropractor
3809 S STATE ROUTE 159
Glen Carbon, IL 62034
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1407043714 (618) 692-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Frye's NPI number?

The NPI number for Brooke Frye is 1386780773. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Dr. Brooke Nichole Lawson D.C..

Where is Brooke Frye located?

Brooke Frye practices at 3809 S. State Route 159, Glen Carbon, IL 62034. The listed phone number is (618) 692-1800.

What is Brooke Frye's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brooke Frye enrolled in Medicare?

Yes. Brooke Frye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brooke Frye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Frye reassigns Medicare benefits to Frye Chiropractic And Laser Center LLC (Glen Carbon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Frye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooke Frye was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.