Logan Brooke (NPI# 1750398103, PAC ID# 5890792931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1750398103 |
| PAC ID by PECOS | 5890792931 |
| Professional Enrollment ID | I20100506000284 |
| Full Name | Logan Brooke |
| Organization Legal Name | RAY TUCK D.C.,P.C. |
| Address |
620 N Main St Blacksburg VA 24060-3385 |
| Phone Number | 5409514357 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2005 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0547222739 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 620 N Main St, Blacksburg, VA 24060-3385 | 5409514357 | RAY TUCK D.C.,P.C. |
| Organization Legal Name | RAY TUCK D.C.,P.C. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Occhiuzzi-flynn | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Jeremy A Keene | Chiropractic | Ray Tuck D.c.,p.c. | 4903 Starkey Rd, Suite 100, Roanoke, VA 24018-8525 |
| Tiffany G Huffman | Chiropractic | Ray Tuck D.c.,p.c. | 490 S Main St, Rocky Mount, VA 24151-1769 |
| Alexis John Labarbera | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| John M Earsing | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Nathaniel R Tuck Jr. | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Joseph T Garapola | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Jennifer Rathmann | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Katie L Mckown | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Susan Kilmer | Chiropractic | Ray Tuck D.c.,p.c. | 65 E Main St, Pulaski, VA 24301-5058 |
| Street Address |
620 N MAIN ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-3385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve E Jacobs | Optometry | 620 N Main St, Suite 101, Blacksburg, VA 24060-3371 | |
| Joshua B Pead | Emergency Medicine | North Arkansas Regional Medical Center | 620 N Main St, North Arkansas Emergency Physicians Group, Harrison, AR 72601-2911 |
| Denise L Orrill | Nurse Practitioner | 620 N Main St, Hoyleton, IL 62803-2046 | |
| Philip K Sadler | Emergency Medicine | North Arkansas Regional Medical Center | 620 N Main St, North Arkansas Emergency Physicians Group, Harrison, AR 72601-2911 |
| Rachel May Bertrand | Nurse Practitioner | North Arkansas Regional Medical Center | 620 N Main St, North Arkansas Emergency Physicians Group, Harrison, AR 72601-2911 |
| Bryan S Shearer | Emergency Medicine | North Arkansas Regional Medical Center | 620 N Main St, North Arkansas Emergency Physicians Group, Harrison, AR 72601-2911 |
| Robert L Miller Jr. | Pathology | 620 N Main St, Harrison, AR 72601-2911 | |
| Raymond K Griffith | Emergency Medicine | North Arkansas Regional Medical Center | 620 N Main St, Harrison, AR 72601-2911 |
| Christopher N Bennett | Diagnostic Radiology | Radiology Associates of The Ozarks, Pllc | 620 N Main St, Harrison, AR 72601-2911 |
| Luke A Bennett | Anesthesiology | North Arkansas Regional Medical Center | 620 N Main St, Harrison, AR 72601-2911 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BLACKSBURG + CHIROPRACTIC |
Please comment or provide details below to improve the information on Logan Brooke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.