Individual provider Active NPI

Sheldon George Brown, D.C.

  • Chiropractor
  • La Vista, NE
National Provider Identifier
1043490295
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1870 Issued in NE
Practice address
9825 Giles Rd
Suite F
La Vista, NE 68128-2927
Phone
(402) 339-2283
Fax
(402) 339-2289
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1870 NE Primary

Addresses

Primary practice location

9825 Giles Rd
Suite F
La Vista, NE 68128-2927

Mailing address

9825 Giles Rd
Suite F
La Vista, NE 68128-2927
Phone (402) 339-2283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001888 NE Practitioner - Chiropractic 6204971880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young Chiropractic and Rehabilitation Center, LLCGroup PAC ID 1355439555, 3 clinicians

Practice addresses (Care Compare)

10351 Portal Rd
Suite 103
La Vista, NE 68128-5543
Phone (402) 339-2283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bennington Spine Chiropractor CurrentSince Nov 1, 2023 Accepting new patients
Young Chiropractic & Rehabilitation Center LLC Chiropractor CurrentSince Feb 16, 2016 Accepting new patients
HWPT PastSince Apr 6, 2011 Accepting new patients

Locations

15530 Ida St
Ste 400
Bennington, NE 68007
Phone (402) 339-2283

9825 Giles Rd
Ste F
Lavista, NE 68128
Phone (402) 339-2283

10351 Portal Rd
Ste 103
Lavista, NE 68128
Phone (402) 339-2283

5002 S 24th St
Ste 200
Omaha, NE 68107
Phone (402) 339-2283

Networks

  • CO HMO
  • IA HMO
  • IA HMO C-SNP
  • CO HMO D-SNP
  • CO HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1043490295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 GILES RD",
            "address_2": "SUITE F",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282927",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 GILES RD",
            "address_2": "SUITE F",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282927",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELDON",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.