Individual provider Active NPI

Richard L Brown, D.C.

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1053354928
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1790 Issued in MA
Practice address
45 Pearl St
Brockton, MA 02301-2858
Phone
(508) 587-8988
Fax
(508) 580-6019
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1790 MA Primary

Addresses

Primary practice location

45 Pearl St
Brockton, MA 02301-2858

Mailing address

45 Pearl St
Brockton, MA 02301-2858
Phone (508) 587-8988

Other identifiers 1

IdentifierTypeStateIssuer
1610147MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000699 MA Practitioner - Chiropractic 2961416094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Chiropractic Center PCGroup PAC ID 8325052459, 2 clinicians

Practice addresses (Care Compare)

45 Pearl St
Brockton, MA 02301-2858
Phone (508) 587-8988

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1790MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Chiropractic Center, PC Chiropractor CurrentSince Oct 20, 2005 Accepting new patients

Locations

45 Pearl St
Brockton, MA 02301
Phone (508) 580-0044

12 Beach St
Wollaston, MA 02170
Phone (617) 328-0839

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1053354928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012858",
            "telephone_number": "508-587-8988",
            "fax_number": "508-580-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012858",
            "telephone_number": "508-587-8988",
            "fax_number": "508-580-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610147",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.