DR. JEREMY SETH BROOK D.C
NPI 1962696872
Chiropractor in Los Angeles, CA

Active since September 04, 2007
11686 GATEWAY BLVD, LOS ANGELES, CA 90064(310) 392-5456(310) 444-5519 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeremy Seth Brook D.c NPPES

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

DR. JEREMY SETH BROOK D.C (NPI 1962696872) is an individual chiropractor in Los Angeles, California, licensed in California (DC27589) and active in the NPI registry since September 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2000).

NPPES Registry Identity

NPI1962696872
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEREMY SETH BROOKCredential: D.C
Location Address11686 GATEWAY BLVDLos Angeles, CA 90064-2829
Mailing Address11686 Gateway BlvdLos Angeles, CA 90064-2829 · (310) 392-5456
Fax(310) 444-5519
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2000
Enumeration DateSeptember 4, 2007
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1962696872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC27589
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.
11686 GATEWAY BLVD, Los Angeles, CA 90064

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Seth Brook D.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42309858
PECOS Enrollment IDI20071201000210

Medicare Billing Reassignment

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

Chiropractor
11686 GATEWAY BLVD
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
11686 GATEWAY BLVD
LOS ANGELES, CA 90064

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 Jeremy Brook's NPI number?

The NPI number for Jeremy Brook is 1962696872. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Jeremy Brook located?

Jeremy Brook practices at 11686 Gateway Blvd, Los Angeles, CA 90064. The listed phone number is (310) 392-5456.

What is Jeremy Brook's specialty?

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

Is Jeremy Brook enrolled in Medicare?

Yes. Jeremy Brook is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Brook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Brook reassigns Medicare benefits to Brook Chiropractic, Inc (Los Angeles, CA). 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 Jeremy Brook'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 Jeremy Brook was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.