Healthcare Provider Details

I. General information

NPI: 1609796465
Provider Name (Legal Business Name): JACOB GILMAN BROOKS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2486 ENTERPRISE DR
OPELIKA AL
36801-1516
US

IV. Provider business mailing address

1600 E SAMFORD AVE UNIT 1308
AUBURN AL
36830-6513
US

V. Phone/Fax

Practice location:
  • Phone: 334-367-5185
  • Fax:
Mailing address:
  • Phone: 334-367-5185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2955
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: