Active NPI
David Alan Brown, D.C.
- Chiropractor
- White Pigeon, MI
National Provider Identifier
1104813278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DB008622
- Practice address
- 16648 US Highway 12
White Pigeon, MI 49099-7706 - Phone
- (269) 625-6625
- NPI assigned
- Oct 4, 2005
- Last updated
- May 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DB008622 | MI | Primary |
Addresses
Primary practice location
16648 US Highway 12
White Pigeon, MI 49099-7706
Mailing address
24553 Aric Way
Elkhart, IN 46517-3351
Phone (574) 875-6017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950G51037 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB008622 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1104813278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24553 ARIC WAY",
"city": "ELKHART",
"state": "IN",
"postal_code": "465173351",
"telephone_number": "574-875-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16648 US HIGHWAY 12",
"city": "WHITE PIGEON",
"state": "MI",
"postal_code": "490997706",
"telephone_number": "269-625-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "DB008622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950G51037",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Pigeon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.