Provider Demographics
NPI:1265469100
Name:BRINKERHOFF, RORY SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:SCOTT
Last Name:BRINKERHOFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8253 SIERRA AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-3577
Mailing Address - Country:US
Mailing Address - Phone:909-829-0332
Mailing Address - Fax:909-829-0310
Practice Address - Street 1:8253 SIERRA AVE
Practice Address - Street 2:STE 105
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-3577
Practice Address - Country:US
Practice Address - Phone:909-829-0332
Practice Address - Fax:909-829-0310
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT89700Medicare UPIN