Individual provider Active NPI

Erik John Brower, D.C.

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1093020307
Registry record updated Sep 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011895 Issued in NY
Practice address
52 Route 17K
Suite 207
Newburgh, NY 12550-3919
Phone
(845) 594-1722
NPI assigned
Aug 11, 2010
Last updated
Sep 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011895 NY Primary

Addresses

Primary practice location

52 Route 17K
Suite 207
Newburgh, NY 12550-3919

Mailing address

318 Schroon Hill Rd
Kerhonkson, NY 12446-1413
Phone (845) 594-1722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000887 NY Practitioner - Chiropractic 7618160722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innate Chiropractic PCGroup PAC ID 6800089913, 4 clinicians

Practice addresses (Care Compare)

52 Route 17K
Newburgh, NY 12550-3920
Phone (845) 565-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011895NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Chiropractic PC Chiropractor CurrentSince Aug 16, 2010 Accepting new patients

Locations

52 Route 17K
Ste 203
Newburgh, NY 12550
Phone (845) 392-6763

52 Route 17K
Ste 207
Newburgh, NY 12550
Phone (845) 565-5410

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283731200000",
    "number": "1093020307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SCHROON HILL RD",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124461413",
            "telephone_number": "845-594-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ROUTE 17K",
            "address_2": "SUITE 207",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503919",
            "telephone_number": "845-594-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "ERIK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; 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.