Individual provider Active NPI

Scott A Brown, D.C.

  • Chiropractor
  • Deptford, NJ
National Provider Identifier
1073552618
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC 3499 Issued in NJ
Practice address
1297 Clements Bridge Rd
Deptford, NJ 08096-3001
Phone
(856) 848-4442
Fax
(856) 848-1836
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC 3499 NJ Primary

Addresses

Primary practice location

1297 Clements Bridge Rd
Deptford, NJ 08096-3001

Mailing address

1297 Clements Bridge Rd
Deptford, NJ 08096-3001
Phone (856) 848-4442

Other identifiers 4

IdentifierTypeStateIssuer
2285756000OtherNJAMERIHEALTH
223482806OtherMHHORIZON
1758004MedicaidNJ
548666OtherNJAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000394 NJ Practitioner - Chiropractic 8527045152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1297 Clements Bridge Rd
Deptford, NJ 08096-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC 3499NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Brown, D.C. P.a Chiropractor CurrentSince Dec 11, 1989 Accepting new patients

Locations

1297 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 848-4442

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1073552618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 CLEMENTS BRIDGE RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963001",
            "telephone_number": "856-848-4442",
            "fax_number": "856-848-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 CLEMENTS BRIDGE RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963001",
            "telephone_number": "856-848-4442",
            "fax_number": "856-848-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC 3499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2285756000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "223482806",
            "state": "MH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "548666",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.